Individual provider · Type 1 NPI

Vivian W. Fan

Pharmacist · Ridgewood, NY

NPI number 1720262835 Active

Practice location

5508 Metropolitan Ave
Ridgewood, NY 11385-1221

Call (718) 418-3841 Map

Mailing address

21958 64th Ave, APT#C
Oakland Gardens, NY 11364-2246

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X039255 (NY)

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…

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About NPI 1720262835

Vivian W. Fan's National Provider Identifier is 1720262835, issued on Dec 26, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ridgewood, NY. The record was last updated on Nov 1, 2026.