L. Fernandez Farmacia, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

019142 Issued in NY

Legal business name

L. FERNANDEZ FARMACIA, INC

Practice address

12323 Liberty Ave
South Richmond Hill, NY 11419-2115

Phone

(718) 738-0500

Fax

(718) 738-5327

NPI assigned

Dec 25, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Maritza A Salcedo

Title

President

Phone

(718) 738-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Saurabh P Mehta, R PH

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1811213911
  NPD

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

{
    "created_epoch": "1135468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760469308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12323 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192115",
            "telephone_number": "718-738-0500",
            "fax_number": "718-738-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12323 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192115",
            "telephone_number": "718-738-0500",
            "fax_number": "718-738-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. FERNANDEZ FARMACIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-738-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "019142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01177962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Kintzoglou, MD
• Latchmi Jasodra Kisto, LPN
• Kathleen Gail Kohut, D.O.
• Betsy Koshy, OTR/L
• Komal Kumar Kukkar, PT
• Avisha Lauren Labban, NP
• Leap Ahead Services LLC
• James Jin Lee, M.D.
• Yuman Lee, PHARM.D.
• Lefferts 26 Dentistry PLLC

• Pharmacy in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.