Individual provider Active NPI

Rachael Faso

  • Pharmacist
  • Newburgh, NY
National Provider Identifier
1144040445
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
072102 Issued in NY
Practice address
39 N Plank Rd
Newburgh, NY 12550-2118
Phone
(845) 565-0140
NPI assigned
Oct 12, 2024
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 072102 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

39 N Plank Rd
Newburgh, NY 12550-2118

Mailing address

37 Oakland Ave
Walden, NY 12586-1409
Phone (845) 649-6855

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2024.

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1144040445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 OAKLAND AVE",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861409",
            "telephone_number": "845-649-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502118",
            "telephone_number": "845-565-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASO",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "072102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.