Fresh Pond RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FRESH POND RX INC

Practice address

7104 Fresh Pond Rd
Ridgewood, NY 11385-5905

Phone

(929) 295-0033

Fax

(929) 295-0408

NPI assigned

Nov 21, 2018

Last updated

Mar 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Stuart Obrien

Title

President

Phone

(929) 295-0033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1720557523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855905",
            "telephone_number": "929-295-0033",
            "fax_number": "929-295-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855905",
            "telephone_number": "929-295-0033",
            "fax_number": "929-295-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH POND RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-295-0033"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Star Medical Supplies Inc
• Fresh Pond Physical Therapy Greenpoint, P.C
• Fresh Pond Physical Therapy, P.C
• Fresh Pond Physical Therapy, P.C
• Fresh Pond Podiatry PLLC
• Fresh Smiles PLLC
• Friendly Connections Inc
• Sreenivasa R Gade II
• Clare Gagne, CLC
• Mae Therese Galon

• Community/Retail Pharmacy in Ridgewood, NY
• Providers in Ridgewood, 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 Mar 4, 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.

Verify at the official NPI Registry.