Organization Active NPI

Fancy Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1992960108
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029005 Issued in NY
Legal business name
FANCY PHARMACY INC
Doing business as
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
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Rafin RashidNPI 1821253980
Title
President
Phone
(516) 398-1284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029005 NY Primary

Addresses

Primary practice location

2158 Starling Ave
Bronx, NY 10462-4303

Mailing address

2158 Starling Ave
Bronx, NY 10462-4303

Other names 1

  • Fancy Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2158 Starling Ave
Bronx, NY 10462
Phone (718) 239-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fancy Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • 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.