Active NPI
Fady Heikal
- Pharmacist
- New York, NY
National Provider Identifier
1144543729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053904
- Practice address
- 686 North Main Street
New York, NY 10044 - Phone
- (212) 644-4125
- NPI assigned
- Mar 10, 2010
- Last updated
- Mar 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053904 | NY | Primary |
| Pharmacist | 183500000X | 03203600 | NJ |
Addresses
Primary practice location
686 North Main Street
New York, NY 10044
Mailing address
551 9TH St
Brooklyn, NY 11215-4205
Phone (917) 981-5267
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 |
|---|---|---|---|
| 03203600 | NJ | MD | Pharmacist |
| 053904 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namdor Inc | Pharmacist | Past | Accepting new patients |
| Namdor Inc | Pharmacist | 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": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1144543729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 9TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154205",
"telephone_number": "917-981-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 NORTH MAIN STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10044",
"telephone_number": "212-644-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIKAL",
"first_name": "FADY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053904",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "03203600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.