IndividualActive
Mikhail Kozlov, PHARMD
NPI 1366913428 · Pharmacist · Staten Island, NY
Provider details
- NPI number
- 1366913428
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 065054 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6400 Amboy Rd
Staten Island, NY 10309-3121
Phone: (718) 967-4600
Street-level locationGet directions
Mailing address
6400 Amboy Rd
Staten Island, NY 10309-3121
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.