Organization Active NPI

Fusion Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376877753
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FUSION PHARMACY CORP
Doing business as
Fusion Pharmacy corp
Practice address
6801 18TH Ave
Brooklyn, NY 11204-4058
Phone
(718) 975-2130
Fax
(718) 975-2133
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Edward NepoNPI 1992986020
Title
Supervising Pharmacist
Phone
(347) 604-2311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029847 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6801 18TH Ave
Brooklyn, NY 11204-4058

Mailing address

6801 18TH Ave
Brooklyn, NY 11204-4058
Phone (718) 975-2130

Other identifiers 2

IdentifierTypeStateIssuer
03185788MedicaidNY
3363188OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Fusion Pharmacy corp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930004851 NY DME Supplier - Pharmacy 8325238785 Practice locations: Brooklyn, NY
O20231102003853 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8325238785 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Fusion Pharmacy Corp6801 18TH Ave, Brooklyn, NY 11204-4416(718) 975-2130 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 2, 2010

National Provider Directory

National Provider Directory

Locations

6801 18th Ave
Brooklyn, NY 11204
Phone (718) 975-2130

2276 65th St
Brooklyn, NY 11204
Phone (518) 901-7710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1376877753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044058",
            "telephone_number": "718-975-2130",
            "fax_number": "718-975-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044058",
            "telephone_number": "718-975-2130",
            "fax_number": "718-975-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "NEPO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-604-2311"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029847",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03185788",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Pharmacy corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fusion Pharmacy corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.