Active NPI
David Fong, R.PH.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1396068581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 038260
- Practice address
- 2325 Flatbush Ave
Brooklyn, NY 11234-4529 - Phone
- (718) 951-0518
- Fax
- (718) 951-3205
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 038260 | NY | Primary |
Addresses
Primary practice location
2325 Flatbush Ave
Brooklyn, NY 11234-4529
Mailing address
2844 W 30TH St
Brooklyn, NY 11224-1863
Phone (347) 517-9301
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 |
|---|---|---|---|
| 038260 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Brooklyn, NY
- NPI 1962776633
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1396068581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 W 30TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241863",
"telephone_number": "347-517-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344529",
"telephone_number": "718-951-0518",
"fax_number": "718-951-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038260",
"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 May 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.