FSNR SNF LLC NPI 1164435756

NPI Information

  • NPI: 1164435756
  • Provider Name: FSNR SNF LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: FOUR SEASONS PHARMACY
  • Address: 1222 EAST 96TH STREET
    BROOKLYN, NY
    ZIP 11236
  • Phone: (718) 688-8755

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NPI Details

FSNR SNF LLC is a long term care pharmacy pharmacy in Brooklyn, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. FSNR SNF LLC NPI is 1164435756. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Four Seasons Pharmacy.

The provider's business location address is:

1222 EAST 96TH STREET
BROOKLYN, NY
ZIP 11236
Phone: (718) 688-8755
Fax: (718) 688-8774

The provider's authorized official is Jonathan Shaatal .
The authorized official title is Director Of Pharmacy and has the following contact phone number (718) 688-8755.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
11835G0303XPharmacistGeriatricNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy027476NEW YORKNo
43336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102829849MEDICAIDNEW YORK
205632944MEDICAIDNEW YORK
32067555OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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