Individual provider Active NPI

Morris Fatiha

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1346421070
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048521 Issued in NY
Practice address
302 Church Ave
Brooklyn, NY 11218-3106
Phone
(718) 871-1112
Fax
(718) 622-0289
NPI assigned
Nov 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048521 NY Primary

Addresses

Primary practice location

302 Church Ave
Brooklyn, NY 11218-3106

Mailing address

1802 Avenue V
Brooklyn, NY 11229-4504
Phone (718) 627-2689

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

LicenseStateTypeSpecialty
048521NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maurice Pharmacy Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1346421070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 AVENUE V",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294504",
            "telephone_number": "718-627-2689",
            "fax_number": "718-622-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183106",
            "telephone_number": "718-871-1112",
            "fax_number": "718-622-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIHA",
        "first_name": "MORRIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048521",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2007; 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.