Active NPI
Prisca Achea Fowung, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1235434515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054379-1
- Practice address
- 58 East Fordam Rd
Bronx, NY 10468 - Phone
- (718) 365-9354
- NPI assigned
- Jan 19, 2011
- Last updated
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054379-1 | NY | Primary |
Addresses
Primary practice location
58 East Fordam Rd
Bronx, NY 10468
Mailing address
1250 Grand Concourse
Appt 3B
Bronx, NY 10456-2759
Phone (718) 664-3264
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054379-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | 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": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1235434515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 GRAND CONCOURSE",
"address_2": "APPT 3B",
"city": "BRONX",
"state": "NY",
"postal_code": "104562759",
"telephone_number": "718-664-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 EAST FORDAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "10468",
"telephone_number": "718-365-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWUNG",
"first_name": "PRISCA",
"middle_name": "ACHEA",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054379-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.