Active NPI
Fang Fang
- Pharmacist
- Port Charlotte, FL
National Provider Identifier
1881249225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59588
- Practice address
- 2480 Tamiami TRL
Port Charlotte, FL 33952-3922 - Phone
- (941) 625-0023
- NPI assigned
- Aug 2, 2019
- Last updated
- Aug 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PS59588 | FL | Primary |
Addresses
Primary practice location
2480 Tamiami TRL
Port Charlotte, FL 33952-3922
Mailing address
18147 Heron Walk Dr
Tampa, FL 33647-3130
Phone (216) 650-2253
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59588 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1881249225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18147 HERON WALK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473130",
"telephone_number": "216-650-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339523922",
"telephone_number": "941-625-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "FANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.