MEDICARE: YAKOV SULEYMANOV PHARM.D

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	79578	CA

General Provider Information

NPI Number	:	1013566561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAKOV SULEYMANOV PHARM.D

Provider Business Mailing Address
First Line	:	30313 CANWOOD ST STE 24
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2066
Country	:	US
Telephone Number	:	818-770-2300
Fax Number	:	818-338-0123

Provider Business Practice Location Address
First Line	:	30313 CANWOOD ST STE 24
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2066
Country	:	US
Telephone Number	:	818-770-2300
Fax Number	:	818-338-0123

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

Provider Enumeration Date	:	09/07/2019
Last Update Date	:	06/08/2026

Similar Medicare Providers

1851241210 — AGOURA WELLNESS RX INC
Practice Location Address:

30313 CANWOOD ST STE 24
AGOURA HILLS, CA
91301-2066

Practice Phone: 818-770-2300
Practice Fax: 818-338-0123

1982554333 — AGOURA WELLNESS RX INC
Practice Location Address:

30313 CANWOOD ST STE 24
AGOURA HILLS, CA
91301-2066

Practice Phone: 818-770-2300
Practice Fax: 818-338-0123

1093976664 — ALICIA M PRICE NP
Practice Location Address:

7395 OLD RICO RD
CHATTAHOOCHEE HILLS, GA
30268-2066

Practice Phone: 704-378-9673
Practice Fax:

1689059909 — ALICIA M. PRICE, AOCNP
Practice Location Address:

7395 OLD RICO RD
CHATTAHOOCHEE HILLS, GA
30268-2066

Practice Phone: 704-378-9673
Practice Fax:

1710971288 — HICKORY NURSING PAVILION
Practice Location Address:

9246 S ROBERTS RD
HICKORY HILLS, IL
60457-2066

Practice Phone: 708-598-4040
Practice Fax: 708-598-3796

1063713964 — LUTHER HILL OREGON
Practice Location Address:

2472 LUTHER HILLS CIR
OREGON, OH
43616-2066

Practice Phone: 419-697-9397
Practice Fax:

Directions to “ YAKOV SULEYMANOV PHARM.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.