Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026745 Issued in NY

Legal business name

FAMILY PHARMACY INC

Doing business as

Family Pharmacy Inc

Practice address

67 02 Myrtle Ave
Glendale, NY 11385

Phone

(718) 821-3330

Fax

(718) 821-3727

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Alice Jannazzo, RPHNPI 1720300221

Title

VP and Supervising Phcst

Phone

(718) 821-3330

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice Mary Jannazzo, RPH

  • Pharmacist
  • Glendale, NY
  • NPI 1720300221
  NPD Authorized official
• Jean Fusaro, R.PH., MS

  • Pharmacist
  • Glendale, NY
  • NPI 1831412329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1699793216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 02 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-821-3330",
            "fax_number": "718-821-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 02 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-821-3330",
            "fax_number": "718-821-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "JANNAZZO",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "VP AND SUPERVISING PHCST",
        "authorized_official_telephone_number": "718-821-3330",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02572452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aleksey Etinger, D.O.
• Ez Myrtle Pharmacy Corp
• Natasha Eziquiel-Shriro, R.D.N.
• Evette Facey
• Yulissa Familia, NP
• Family RX Corp
• Family United Home Care LLC
• Fady Farag, PT
• Zahwa Farooqui, MD
• Gabrielle Patel Fata

• Community/Retail Pharmacy in Glendale, NY
• Providers in Glendale, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.