Active NPI
Ascan Pharmacy Inc.
- Community/Retail Pharmacy
- Forest Hills, NY
National Provider Identifier
1447527775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031095
- Legal business name
- ASCAN PHARMACY INC.
- Practice address
- 11215 72ND Road
LL5
Forest Hills, NY 11375-6647 - Phone
- (718) 793-6747
- Fax
- (718) 228-7166
- NPI assigned
- Dec 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis L Fata, RPH
- Title
- President
- Phone
- (718) 793-6747
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 031095 | NY | Primary |
Addresses
Primary practice location
11215 72ND Road
LL5
Forest Hills, NY 11375-6647
Mailing address
11215 72ND Road
Unit LL5
Forest Hills, NY 11375-6647
Phone (718) 793-6747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5804427 | Other | NCPDP | |
| 03432648 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://surescripts.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210908003935 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466615927 | Practice locations: Forest Hills, NY |
National Provider Directory
National Provider DirectoryLocations
7304 Austin St
Forest Hills, NY 11375
Phone (718) 793-6747
10121 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 261-9500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Forest Hills, NY
- NPI 1417282526
-
- Pharmacist
- Forest Hills, NY
- NPI 1518270776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1447527775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 72ND ROAD",
"address_2": "UNIT LL5",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756647",
"telephone_number": "718-793-6747",
"fax_number": "718-228-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 72ND ROAD",
"address_2": "LL5",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756647",
"telephone_number": "718-793-6747",
"fax_number": "718-228-7166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCAN PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-01",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "FATA",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-793-6747",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "031095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5804427",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03432648",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://surescripts.com/",
"affiliation": "N",
"endpointDescription": "ERX communications",
"address_1": "11215 72nd Road",
"address_2": "LL5",
"city": "Forest Hills",
"state": "NY",
"country_code": "US",
"postal_code": "113756647",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.