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MISS VIVIAN W FAN
NPI 1720262835
Pharmacist in Ridgewood, NY

Active since December 26, 2007
5508 METROPOLITAN AVE, RIDGEWOOD, NY 11385(718) 418-3841 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Vivian W Fan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS VIVIAN W FAN (NPI 1720262835) is an individual pharmacist in Ridgewood, New York, licensed in New York (039255) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1720262835
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMISS VIVIAN W FAN
Location Address5508 METROPOLITAN AVERidgewood, NY 11385-1221
Mailing Address21958 64th Ave, Apt#cOakland Gardens, NY 11364-2246 · (718) 631-5245
Phone(718) 418-3841
Sole ProprietorNo
Enumeration DateDecember 26, 2007
✔ NPI 1720262835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 039255
Definition
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.
5508 METROPOLITAN AVE, Ridgewood, NY 11385
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Other Names 1

Former Name (1)Vivian Wei-yi Fan

Other Identifiers 1

Medicaid01665838NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YUNHEE MUN
Pharmacist
5508 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-3841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Fan's NPI number?

The NPI number for Vivian Fan is 1720262835. It was assigned to this individual provider in the NPPES registry on December 26, 2007. The provider is also known as Vivian Wei-Yi Fan.

Where is Vivian Fan located?

Vivian Fan practices at 5508 Metropolitan Ave, Ridgewood, NY 11385. The listed phone number is (718) 418-3841.

What is Vivian Fan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Vivian Fan was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.