Individual provider · Type 1 NPI

Reuven Polvanov

Pharmacist · Richmond Hill, NY

NPI number 1619704111 Active

Practice location

10823 Jamaica Ave
Richmond Hill, NY 11418-2243

Call (718) 954-9601 Map

Fax (718) 954-9603

Other practice locations

  • 10205 Jamaica Ave, Richmond Hill, NY 11418-2006 · (718) 441-4693

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X071949 (NY)

Pharmacist: 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…

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About NPI 1619704111

Reuven Polvanov's National Provider Identifier is 1619704111, issued on Sep 18, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Richmond Hill, NY. The record was last updated on Jul 29, 2025.