Active NPI
Fariborz Sani
- Pharmacist
- Glens Falls, NY
National Provider Identifier
1043623010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058350
- Practice address
- 202 Broad St
Glens Falls, NY 12801-4146 - Phone
- (518) 793-3040
- NPI assigned
- Jun 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 058350 | NY | Primary |
Addresses
Primary practice location
202 Broad St
Glens Falls, NY 12801-4146
Mailing address
202 Broad St
Glens Falls, NY 12801-4146
Phone (518) 793-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058350 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1043623010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 BROAD ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014146",
"telephone_number": "518-793-3040",
"fax_number": "518-793-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 BROAD ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014146",
"telephone_number": "518-793-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANI",
"first_name": "FARIBORZ",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.