Active NPI
Ashley Meilin Fan
- Pharmacist
- Greenwich, CT
National Provider Identifier
1649824178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0014289
- Practice address
- 1043 North Street
Greenwich, CT 06831 - Phone
- (203) 869-2130
- Fax
- (203) 869-9227
- NPI assigned
- Aug 1, 2019
- Last updated
- Aug 1, 2019
- Sex
- Female
- 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 | PCT.0014289 | CT | Primary |
Addresses
Primary practice location
1043 North Street
Greenwich, CT 06831
Mailing address
1043 North Street
Greenwich, CT 06831
Phone (203) 869-2130
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 |
|---|---|---|---|
| PCT.0014289 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Street Pharmacy | Pharmacist | Past | Accepting new patients |
| Chakra Health LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1649824178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 NORTH STREET",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06831",
"telephone_number": "203-869-2130",
"fax_number": "203-869-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 NORTH STREET",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06831",
"telephone_number": "203-869-2130",
"fax_number": "203-869-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "ASHLEY",
"middle_name": "MEILIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.