DR. REUVEN POLVANOV
NPI 1619704111
Pharmacist in Richmond Hill, NY

Active since September 18, 2024
10823 JAMAICA AVE, RICHMOND HILL, NY 11418(718) 954-9601(718) 954-9603 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Reuven Polvanov NPPES

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

DR. REUVEN POLVANOV (NPI 1619704111) is an individual pharmacist in Richmond Hill, New York, licensed in New York (071949) and active in the NPI registry since September 2024. He maintains a secondary practice location in Richmond Hill.

NPPES Registry Identity

NPI1619704111
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. REUVEN POLVANOV
Location Address10823 JAMAICA AVERichmond Hill, NY 11418-2243
Mailing Address10823 Jamaica AveRichmond Hill, NY 11418-2243 · (718) 954-9601 · Fax (718) 954-9603
Fax(718) 954-9603
Sole ProprietorNo
Enumeration DateSeptember 18, 2024
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1619704111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 071949
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.
10823 JAMAICA AVE, Richmond Hill, NY 11418

Secondary Practice Location 1

Location 110205 Jamaica AveRichmond Hill, NY 11418-2006 · Phone (718) 441-4693

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
10823 JAMAICA AVE
RICHMOND HILL, NY 11418

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 Reuven Polvanov's NPI number?

The NPI number for Reuven Polvanov is 1619704111. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Where is Reuven Polvanov located?

Reuven Polvanov practices at 10823 Jamaica Ave, Richmond Hill, NY 11418. The listed phone number is (718) 954-9601.

What is Reuven Polvanov'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 Reuven Polvanov was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.