Active NPI
Rachael Faso
- Pharmacist
- Newburgh, NY
National Provider Identifier
1144040445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 072102
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 072102 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.