Individual provider Active NPI

Veronica Ann Fichtner, RPH

  • Pharmacist
  • Amityville, NY
National Provider Identifier
1124392055
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050097 Issued in NY
Practice address
355 Broadway
Amityville, NY 11701-2715
Phone
(631) 608-2457
Fax
(631) 608-2460
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050097 NY Primary

Addresses

Primary practice location

355 Broadway
Amityville, NY 11701-2715

Mailing address

355 Broadway
Amityville, NY 11701-2715
Phone (631) 608-2457

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
050097NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1124392055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012715",
            "telephone_number": "631-608-2457",
            "fax_number": "631-608-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012715",
            "telephone_number": "631-608-2457",
            "fax_number": "631-608-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHTNER",
        "first_name": "VERONICA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.