Famak Enterprises Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

27609 Issued in TX

Legal business name

FAMAK ENTERPRISES INC

Practice address

1915 E Mayfield Rd
Suite 109
Arlington, TX 76014-2604

Phone

(817) 795-8884

Fax

(817) 795-8887

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Monica Fasanmi

Title

Pharmacist

Phone

(817) 795-8884

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mayfield Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1922380245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E MAYFIELD RD",
            "address_2": "SUITE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142604",
            "telephone_number": "817-795-8884",
            "fax_number": "817-795-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 E MAYFIELD RD",
            "address_2": "SUITE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142604",
            "telephone_number": "817-795-8884",
            "fax_number": "817-795-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMAK ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FASANMI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "817-795-8884"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27609",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131646",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.