Fancy Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029005 Issued in NY

Legal business name

FANCY PHARMACY INC

Practice address

2158 Starling Ave
Bronx, NY 10462-4303

Phone

(718) 892-5140

Fax

(718) 892-5141

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Rafin Rashid

Title

President

Phone

(516) 398-1284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fancy Pharmacy Inc Doing business as

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1992960108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 STARLING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 STARLING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624303",
            "telephone_number": "718-892-5140",
            "fax_number": "718-892-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANCY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "RAFIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-398-1284"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3358517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fancy Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert Dennis Famularo, LMSW
• David Fan, D.O.
• Rung Tan Fan, M.D.
• Xuanjia Fan, MD
• Yu Mei Wu Fan, MD
• Lauren Fane
• Francesca Fanelli, LMHC-LP
• Loretta Gillman Fanelli, RN, MA, NPP
• Alexander Fang, MD
• Cheng Fang, DDS

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.