MR. EUGENE FAIS, RPH - NPI NUMBER 1811201627

Summary

Provider Name: MR. EUGENE FAIS, RPH

NPI Number: 1811201627

Clasification: Pharmacist (183500000X)

Address:
1449 1ST AVE
NEW YORK, NY
ZIP 10021

Phone Number: (212) 535-7100



Detailed Information

MR. Eugene Fais, RPH is a pharmacist in New York, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. The assigned NPI number for this provider is 1811201627 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1449 1ST AVE
NEW YORK, NY
ZIP 10021-002
Phone: (212) 535-7100
Fax: (212) 535-7101

The enumeration date for this NPI number is 8/4/2010 and was last updated on 8/4/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 183500000X Pharmacist 28RI01275200 NJ No
2 183500000X Pharmacist 054280-1 NY Yes

NPI Record

No. Field Name Field Value
1 NPI 1811201627
2 Entity Type Code 1
3 Provider Last Name Legal Name FAIS
4 Provider First Name EUGENE
5 Provider Name Prefix Text MR.
6 Provider Credential Text RPH
7 Provider First Line Business Practice Location Address 1449 1ST AVE
8 Provider Business Practice Location Address City Name NEW YORK
9 Provider Business Practice Location Address State Name NY
10 Provider Business Practice Location Address Postal Code 100213002
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2125357100
13 Provider Business Practice Location Address Fax Number 2125357101
14 Provider Enumeration Date 8/4/2010
15 Last Update Date 8/4/2010
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 183500000X
18 Provider License Number 1 28RI01275200
19 Provider License Number State Code 1 NJ
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 183500000X
22 Provider License Number 2 054280-1
23 Provider License Number State Code 2 NY
24 Healthcare Provider Primary Taxonomy Switch 2 Y
25 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.