Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kim Fanizza

Individual provider Pharmacist · NPI 1447420567

Mrs. Kim Fanizza is a Pharmacist in Staten Island, New York. Licensed in Florida, New Jersey and New York. Registered with an NPI since 2008.

Licensed in
FL, NJ, NY
In the registry since
2008
Specialties on file
3

Practice location Address checks out

189 Bryant Ave
Staten Island, NY 10306-3103
Phone: (718) 979-4585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 042720-1 (NY)
Pharmacist Taxonomy 183500000X · Licence PS29107 (FL)
Pharmacist Taxonomy 183500000X · Licence 28R102325600 (NJ)

Record details

NPI number1447420567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2008
Last updated in NPPESMarch 4, 2008

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