MEDICARE: MICHELLE SHIMUNOVA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	073556	NY

General Provider Information

NPI Number	:	1225991573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SHIMUNOVA PHARMD

Provider Business Mailing Address
First Line	:	14118 71ST AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1941
Country	:	US
Telephone Number	:	305-664-0999
Fax Number	:

Provider Business Practice Location Address
First Line	:	14118 71ST AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1941
Country	:	US
Telephone Number	:	305-664-0999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ MICHELLE SHIMUNOVA PHARMD” Practice Location

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