Individual provider Active NPI

Fahim Faruque, PHARMD

  • Pharmacist
  • Mechanicsburg, PA
National Provider Identifier
1790512713
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28797 Issued in MD
Practice address
203 Brook Meadow Dr
Mechanicsburg, PA 17050-3139
Phone
(443) 267-6757
NPI assigned
Sep 14, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28797 MD Primary

Addresses

Primary practice location

203 Brook Meadow Dr
Mechanicsburg, PA 17050-3139

Mailing address

203 Brook Meadow Dr
Mechanicsburg, PA 17050-3139
Phone (443) 267-6757

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

LicenseStateTypeSpecialty
28797MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
FRQ Pharmacy Group CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1790512713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROOK MEADOW DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503139",
            "telephone_number": "443-267-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROOK MEADOW DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503139",
            "telephone_number": "443-267-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQUE",
        "first_name": "FAHIM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.