Active NPI
Fredric E. Schwartz
- Pharmacist
- Glen Oaks, NY
National Provider Identifier
1457529075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045637
- Practice address
- 25817 Union Tpke
Glen Oaks, NY 11004-1249 - Phone
- (718) 831-6229
- Fax
- (718) 831-6231
- NPI assigned
- Feb 17, 2008
- 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 | 045637 | NY | Primary |
Addresses
Primary practice location
25817 Union Tpke
Glen Oaks, NY 11004-1249
Mailing address
20725 28TH Ave
Bayside, NY 11360-2406
Phone (718) 225-8108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045637 | Other | NY | NY STATE PHARMACY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045637 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldbaum Inc | Past | Accepting new patients | |
| Waldbaum Inc | 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
- Long Beach, NY
- NPI 1104841667
-
- Pharmacy
- Glen Oaks, NY
- NPI 1902821465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203206400000",
"number": "1457529075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20725 28TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602406",
"telephone_number": "718-225-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25817 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041249",
"telephone_number": "718-831-6229",
"fax_number": "718-831-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "FREDRIC",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-17",
"last_updated": "2008-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE PHARMACY LICENSE",
"identifier": "045637",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.