Organization Active NPI

Fenix Pharmaceutical Services

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1164407243
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
022437 Issued in NY
Legal business name
FENIX PHARMACEUTICAL SERVICES
Practice address
341 Knickerbocker Ave
Brooklyn, NY 11237-3740
Phone
(718) 366-6545
Fax
(718) 418-3416
NPI assigned
Dec 12, 2005
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Mr. Leonard Spector
Title
Supervising Pharmacist
Phone
(718) 366-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 022437 NY Primary

Addresses

Primary practice location

341 Knickerbocker Ave
Brooklyn, NY 11237-3740

Mailing address

341 Knickerbocker Ave
Brooklyn, NY 11237-3740
Phone (718) 366-6545

Other identifiers 1

IdentifierTypeStateIssuer
01622311MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1164407243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373740",
            "telephone_number": "718-366-6545",
            "fax_number": "718-418-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373740",
            "telephone_number": "718-366-6545",
            "fax_number": "718-418-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX PHARMACEUTICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-366-6545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01622311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.