MRS. LARISA NOVODVORSKAYA
NPI 1285805994
Pharmacist in Staten Island, NY

Active since March 20, 2008
325 NEW DORP LN, STATEN ISLAND, NY 10306(718) 351-2400(718) 354-5400 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Larisa Novodvorskaya NPPES

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

MRS. LARISA NOVODVORSKAYA (NPI 1285805994) is an individual pharmacist in Staten Island, New York, licensed in New York (046324-1) and active in the NPI registry since March 2008. She maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1285805994
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. LARISA NOVODVORSKAYA
Location Address325 NEW DORP LNStaten Island, NY 10306-3005
Mailing Address325 New Dorp LnStaten Island, NY 10306-3005 · (718) 351-2400 · Fax (718) 351-5400
Fax(718) 354-5400
Sole ProprietorNo
Enumeration DateMarch 20, 2008
Last NPPES UpdateNovember 22, 2017
NPI 1285805994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 046324-1
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.

325 NEW DORP LN, Staten Island, NY 10306

Secondary Practice Location 1

Location 12660 Hylan BlvdStaten Island, NY 10306-4355 · Phone (718) 668-2972 · Fax (718) 668-2974

Other Providers at the Same Location NPPES 3

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

Pharmacy (Specialty Pharmacy)
325 NEW DORP LN
STATEN ISLAND, NY 10306
Pharmacy (Long Term Care Pharmacy)
325 NEW DORP LN
STATEN ISLAND, NY 10306
Pharmacist
325 NEW DORP LN
STATEN ISLAND, NY 10306

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 Larisa Novodvorskaya's NPI number?

The NPI number for Larisa Novodvorskaya is 1285805994. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Where is Larisa Novodvorskaya located?

Larisa Novodvorskaya practices at 325 New Dorp Ln, Staten Island, NY 10306. The listed phone number is (718) 351-2400.

What is Larisa Novodvorskaya'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 Larisa Novodvorskaya was last updated on November 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.