Ryan Medical Pharmacy

LBN: Fontak Inc
Ryan Medical Pharmacy is an health care organization with primary practice located at 2000 N Village Ave Suite 107, Rockville Centre NY 11570-1078. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Fontak Inc can be contacted via phone (516) 362-2422, or through Jacobson, Howard via phone (516) 459-5009.

Contact Information

Primary practice address
2000 N Village Ave Suite 107 Rockville Centre NY 11570-1078
Phone: (516) 362-2422
Fax: (516) 442-6111
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Howard RPH
Phone: (516) 459-5009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376946640
LBN Legal business name Fontak Inc
DBA Doing business as Ryan Medical Pharmacy
Authorized official Jacobson, Howard RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2014
Last updated Aug 2nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376946640 NPPES
New York Other 7335660001 MEDICARE PTAN

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