Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073076717 Individual Practitioner Male Practitioner

Dr. Ivan Igor Shoukhardin , PharmD

Pharmacist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Shoukhardin, PharmD is a registered healthcare professional specializing in Pharmacist in Brooklyn, NY. Practice services are available at 450 CLARKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Clarkson Ave

Brooklyn, NY 112032012

Telephone 7182701000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2848 Specialists

Practicing in Brooklyn, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY I064281

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Faiha Zaidi , MD

Student in an Organized Health Care Education/Training Program

NPI 1003603838

Doctor of Medicine (M.D.)

Lin Feng

Physician Assistant

NPI 1003642042
Dr. Alexis Macias , DO

Student in an Organized Health Care Education/Training Program

NPI 1013598895

Doctor of Osteopathic Medicine (D.O.)

Aashna Patel

Student in an Organized Health Care Education/Training Program

NPI 1013666171
Jeanju Sung

Student in an Organized Health Care Education/Training Program

NPI 1013702232
Dr. Nicole Northover , MD

Student in an Organized Health Care Education/Training Program

NPI 1013858729

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 21, 2020

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: 7182701000)

NPI Profile Active April 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2019

Registered at 1526 E 16TH ST, BROOKLYN, NY 112306708 (Tel: 7182827660)

📍
Updated Business Mailing Address April 10, 2019

Registered at 410 MARLBOROUGH RD APT 6F, BROOKLYN, NY 112265630 (Tel: 3475068937)

👤
Provider Name / Credentials Updated April 10, 2019

Recorded as IVAN SHOUKHARDIN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2019

Pharmacist (License #I064281 in NY)

🟢
Initial NPI Registration & Enumeration April 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073076717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2019
Last Update: July 21, 2020
Sole Proprietor: Yes

Mailing Address

410 Marlborough Rd Apt 6f

Brooklyn, NY 112265630

Phone: 3475068937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.