FONTAK INC (NPI# 1376946640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376946640 |
| Entity Type | Organization |
| Organization Name | FONTAK INC |
| Other Organization Name | RYAN MEDICAL PHARMACY |
| Practice Address |
2000 N Village Ave Suite 107 Rockville Centre NY 11570-1078 |
| Practice Telephone | 5163622422 |
| Practice Fax Number | 5164426111 |
| Mailing Telephone | 5163622422 |
| Mailing Fax Number | 5164426111 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | MR. HOWARD JACOBSON (PRESIDENT) |
| Authorized Official Telephone | 5164595009 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | 7335660001 | 01 |
| Other Name | Type Code |
|---|---|
| Ryan Medical Pharmacy | Doing Business As Name - Organization |
| Street Address |
2000 N VILLAGE AVE SUITE 107 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728592 | Florencio Abasolo Gomez | Internal Medicine | 2000 N Village Ave, Ste 205, Rockville Centre, NY 11570-1001 | 2005-05-31 |
| 1831697101 | Stephanie Dym | Pharmacist | 2000 N Village Ave, Rockville Centre, NY 11570-1078 | 2018-01-31 |
| 1538607759 | Frankie Batiste | Physician Assistant | 2000 N Village Ave, Ste 402, Rockville Centre, NY 11570-1078 | 2017-02-08 |
| 1497113989 | Winthrop Community Medical Affiliates, P.C. | Orthopaedic Surgery | 2000 N Village Ave, Suite 306, Rockville Centre, NY 11570-1078 | 2016-01-29 |
| 1417294018 | Mary A Kelly | Nurse Practitioner | 2000 N Village Ave, Suite 108, Rockville Centre, NY 11570-1078 | 2013-01-16 |
| 1649515925 | Chs Physician Partners, PC | Internal Medicine | 2000 N Village Ave, Suite 102, Rockville Centre, NY 11570-1078 | 2012-11-28 |
| 1669738746 | Island Physician Services, Pllc | Clinic/Center | 2000 N Village Ave, Suite 109, Rockville Centre, NY 11570-1078 | 2012-04-03 |
| 1891086013 | Michael S. Block, M.d. P.C. | Obstetrics & Gynecology | 2000 N Village Ave, Suite 411, Rockville Centre, NY 11570-1078 | 2011-04-21 |
| 1255630893 | Colon and Rectal Surgery P.C. | Colon & Rectal Surgery | 2000 N Village Ave, Suit 205, Rockville Centre, NY 11570-1078 | 2011-03-22 |
| 1629397526 | Surajit Saha | Ophthalmology | 2000 N Village Ave, Suite 402, Rockville Centre, NY 11570-1078 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437665056 | Valenti Pharmacy, Inc | Pharmacy | 70 N Village Ave, Rockville Centre, NY 11570-4606 | 2017-12-19 |
| 1689695660 | Rvc Pharmacy Inc | Pharmacy | 124 N Long Beach Rd, Rockville Centre, NY 11570-4415 | 2006-07-22 |
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| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
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| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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| 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.