Fastvax LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP413108L Issued in PA

Legal business name

FASTVAX LLC

Doing business as

Fastvax Pharmacy and Vaccine Center

Practice address

829 Spruce Street
Philadelphia, PA 19107-5752

Phone

(215) 923-7070

Fax

(215) 923-0489

NPI assigned

Aug 25, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amber Thompson

Title

General Manager

Phone

(215) 996-1400

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Fastvax Pharmacy and Vaccine Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Hunter Vickery, R.PH

  • Pharmacist
  • Chalfont, PA
  • NPI 1194856880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1033102967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-923-7070",
            "fax_number": "215-923-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-923-7070",
            "fax_number": "215-923-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTVAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "215-996-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413108L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413108L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3921613",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3921613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fastvax Pharmacy and Vaccine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quadeer Mohammed Fasihuddin, MD
• Abiola A Fasina, MD
• David Laurence Fask, PH.D.
• Zhanna Fast, MD
• Judd Harris Fastenberg, M.D.
• Umma Kaniz Fatema
• Daniel Fatemi, DO
• Fathership Foundation
• Ramie A Fathy, MD
• Noor Fatima, MD

• Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.