Organization Active NPI

Ascan Pharmacy Inc.

  • Community/Retail Pharmacy
  • Forest Hills, NY
National Provider Identifier
1447527775
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031095 Issued in NY
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

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Francis L Fata, RPHNPI 1417282526
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5804427OtherNCPDP
03432648MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://surescripts.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210908003935 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2466615927 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.