Fateh Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FATEH PHARMACY INC

Doing business as

Broadway Pharmacy

Practice address

299 Broadway
Paterson, NJ 07501

Phone

(862) 257-1316

Fax

(862) 257-1317

NPI assigned

Mar 17, 2020

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ijaz Rafiq

Title

Owner

Phone

(862) 257-1316

Specialties & licenses 1

Addresses

Other names 1

• Broadway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Broadway Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fateh Pharmacy Inc

  dba Broadway Pharmacy

  • Community/Retail Pharmacy
  • Paterson, NJ
  • NPI 1447024120
  NPD tax ID

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1265068738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07501",
            "telephone_number": "862-257-1316",
            "fax_number": "862-257-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATEH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-257-1316"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmacias del Pueblo LLC
• Adil Farooki, MD
• Iqra Naz Farooqi, MD, MPH
• Mohd Usman Farooqi, DO
• Sydney M. Fasulo, MD
• Fateh Pharmacy Inc (Broadway Pharmacy)
• Fayrouz Pediatric LLC
• Annette Feanny
• Rebecca Feder-Stamler, D.M.D
• Esther Faye Feinstein

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.