THOMAS FATTAH (NPI# 1417360199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417360199 |
| Entity Type | Individual |
| Full Name | THOMAS FATTAH |
| Practice Address |
14 Soundview Market Pl Port Washington NY 11050-2221 |
| Mailing Address |
1404 Dewey Ave North Bellmore NY 11710-2131 |
| Practice Telephone | 5168838830 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | I057170 | NY | Pharmacy Service Providers |
| Street Address |
14 SOUNDVIEW MARKET PL |
| City | PORT WASHINGTON |
| State | NY |
| Zip Code | 11050-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316464845 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14 Soundview Market Pl, Port Washington, NY 11050-2221 | 2017-08-25 |
| 1902351786 | Wenhong Feng | Pharmacist | 14 Soundview Market Pl, Port Washington, NY 11050-2221 | 2016-08-22 |
| 1154737336 | Samantha Faulkner | Pharmacist | 14 Soundview Market Pl, Port Washington, NY 11050-2221 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1720472525 | Dominique Neebe | Specialist | 141 Middleneck Road, Sands Point, NY 11050 | 2015-03-19 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1467722454 | Robert Cerpa | Psychologist | 6 Morewood Oaks, Manorhaven Elementary School, Port Washington, NY 11050 | 2012-01-06 |
| 1043515828 | Tak Wai Chau | Social Worker | 36 Rockwood Ave, Port Washingto, NY 11050 | 2011-01-25 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1962710467 | Alicia Marie Leporati | Counselor | 9 Graywood Rd, Port Washington, NY 11050 | 2010-09-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1376778142 | Ellen J Satloff | Social Worker | 14 Terrace Drive, Port Washington, NY 11050 | 2009-05-22 |
| 1376707547 | Port Washington Dental Associates | Clinic/Center | 18 Haven Ave, Port Washington, NY 11050 | 2008-07-16 |
| Find all providers in zip 11050 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1639677537 | Seung Mi Park | Pharmacist | 80e Seaview Blvd, Port Washington, NY 11050-4618 | 2018-01-25 |
| 1548709124 | Parisa Kiumehr | Pharmacist | 961 Port Washington Blvd, Port Washington, NY 11050-2910 | 2017-02-16 |
| 1831441880 | Chun Koung Cho | Pharmacist | 100 Harbor View Dr Apt 201, Port Washington, NY 11050-4714 | 2012-10-15 |
| 1740565225 | Iman Bishara | Pharmacist | 1 Anchorage Rd Apt 2, Port Washington, NY 11050-3103 | 2011-10-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1386968048 | Paul Mark Schimel | Pharmacist | 475 Port Washington Blvd Unit 8, Port Washington, NY 11050-4291 | 2010-03-23 |
| 1255654141 | Rinsi Chacko | Pharmacist | 80 Seaview Blvd, Ge Healthcare, Port Washington, NY 11050-4618 | 2010-03-05 |
| 1104148667 | Richard Harold Neuman | Pharmacist | 12 Roger Dr, Port Washington, NY 11050-2515 | 2010-02-24 |
| 1023291416 | Annmarie Iadevaio | Pharmacist | 961-3 Pt. Washington Blvd, Port Washington, NY 11050 | 2007-12-10 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 11050 |
Please comment or provide details below to improve the information on THOMAS FATTAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.