Fontak Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FONTAK INC

Practice address

2000 N Village Ave
Suite 107
Rockville Centre, NY 11570-1078

Phone

(516) 362-2422

Fax

(516) 442-6111

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Howard Jacobson, RPH

Title

President

Phone

(516) 459-5009

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ryan Medical Pharmacy Doing business as

Locations

Practitioners 1

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

• Chuchu Zhang

  • Pharmacist
  • Rockville Centre, NY
  • NPI 1912470055
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1376946640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 107",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-362-2422",
            "fax_number": "516-442-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 107",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-362-2422",
            "fax_number": "516-442-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-459-5009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "7335660001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rivki Fixler
• Wanda Y Florentino, CASAC
• Annette N/a Flores, RN
• Pedro Flores, RPA
• Mark Flugman, M.D.
• Footluxe of Long Island LLC
• Renee Marcia Forgenie, ADULT NP
• Lisa Anne Forgione, M.D.
• Jillian Danielle Forte, PHYSICIAN ASSISTANT
• Mackenzie Fox

• Pharmacy in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.