Active NPI
Raphew Fahm, PHARM.D.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1740892470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066880
- Practice address
- 1950 Fulton St
Brooklyn, NY 11233-5511 - Phone
- (718) 493-0854
- Fax
- (718) 493-6512
- NPI assigned
- Aug 24, 2020
- 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 | 066880 | NY | Primary |
Addresses
Primary practice location
1950 Fulton St
Brooklyn, NY 11233-5511
Mailing address
171 Macdougal St
Brooklyn, NY 11233-2624
Phone (917) 703-7219
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066880 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1740892470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MACDOUGAL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112332624",
"telephone_number": "917-703-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112335511",
"telephone_number": "718-493-0854",
"fax_number": "718-493-6512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHM",
"first_name": "RAPHEW",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.