Active NPI
Si Fang, PHARM.D., MBA
- Ambulatory Care Pharmacist
- Prosper, TX
National Provider Identifier
1912747841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 59087
- Practice address
- 1590 W Frontier Pkwy Ste 100
Prosper, TX 75078-3196 - Phone
- (469) 296-1679
- NPI assigned
- May 29, 2024
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 59087 | TX | |
| Ambulatory Care Pharmacist | 1835P2201X | 59087 | TX | Primary |
Addresses
Primary practice location
1590 W Frontier Pkwy Ste 100
Prosper, TX 75078-3196
Mailing address
1590 W Frontier Pkwy Ste 100
Prosper, TX 75078-3196
Other names 1
- Steven Fang
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59087 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1912747841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 W FRONTIER PKWY STE 100",
"city": "PROSPER",
"state": "TX",
"postal_code": "750783196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 W FRONTIER PKWY STE 100",
"city": "PROSPER",
"state": "TX",
"postal_code": "750783196",
"telephone_number": "469-296-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "SI",
"credential": "PHARM.D., MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "59087",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "59087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVEN",
"last_name": "FANG",
"credential": "PHARM.D., MBA.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.