Eugene Fais, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

054280-1 Issued in NY

Practice address

1449 1St Ave
New York, NY 10021-3002

Phone

(212) 535-7100

Fax

(212) 535-7101

NPI assigned

Aug 4, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Third Avenue Drug Corp

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1780835629
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1811201627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 72ND ST",
            "address_2": "APT. B-307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214753",
            "telephone_number": "212-585-1707",
            "fax_number": "212-585-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213002",
            "telephone_number": "212-535-7100",
            "fax_number": "212-535-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIS",
        "first_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01275200",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054280-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Collins Fairchilds, FNP, PMHNP
• Nathan Alexander Fairclough I
• Spencer Lacy Fairgrieve, OD
• Stacyann Patricia Fairweather Wills
• Samantha Rose Fairweather
• Faisal Y. Khan, Medical, PLLC
• Rameen Faisal
• Faith Chiropractic, PC
• Faith Honor Support LCSW PLLC
• Faith Works Social Work Services PLLC

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.