Active NPI
Charles B. Fishman, R.PH.
- Pharmacist
- Jackson Heights, NY
National Provider Identifier
1881914364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23889
- Practice address
- 3306 92ND St Apt 1M
Jackson Heights, NY 11372-1808 - Phone
- (718) 507-8799
- NPI assigned
- Jun 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22302 | CA | |
| Pharmacist | 183500000X | 23889 | NY | Primary |
Addresses
Primary practice location
3306 92ND St Apt 1M
Jackson Heights, NY 11372-1808
Mailing address
3306 92ND St Apt 1M
Jackson Heights, NY 11372-1808
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23889 | NY | MD | Pharmacist |
| 22302 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1881914364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 92ND ST APT 1M",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 92ND ST APT 1M",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721808",
"telephone_number": "718-507-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "CHARLES",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-07",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "22302",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "23889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.