SUSANNA GAVRILOVA DR
NPI 1265958227
Pharmacist in Rego Park, NY

Active since August 21, 2017
9710 63RD RD, REGO PARK, NY 11374(718) 896-2484 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susanna Gavrilova Dr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANNA GAVRILOVA DR (NPI 1265958227) is an individual pharmacist in Rego Park, New York, licensed in New York (063112) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1265958227
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSUSANNA GAVRILOVACredential: DR
Location Address9710 63RD RDRego Park, NY 11374-1639
Mailing Address9952 64th RdRego Park, NY 11374-2646 · (718) 839-3650
Sole ProprietorYes
Enumeration DateAugust 21, 2017
NPI 1265958227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 063112
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
9710 63RD RD, Rego Park, NY 11374

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9710 63RD RD
REGO PARK, NY 11374
Pharmacist
9710 63RD RD
REGO PARK, NY 11374
Pharmacist
9710 63RD RD
REGO PARK, NY 11374
Pharmacist
9710 63RD RD
REGO PARK, NY 11374
Pharmacist
9710 63RD RD
REGO PARK, NY 11374
Pharmacist
9710 63RD RD
REGO PARK, NY 11374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susanna Gavrilova's NPI number?

The NPI number for Susanna Gavrilova is 1265958227. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Susanna Gavrilova located?

Susanna Gavrilova practices at 9710 63rd Rd, Rego Park, NY 11374. The listed phone number is (718) 896-2484.

What is Susanna Gavrilova's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Susanna Gavrilova was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.