MEDICARE: FAIRFIELD PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1033462429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRFIELD PHARMACY INC

Provider Business Mailing Address
First Line	:	953 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-8416
Country	:	US
Telephone Number	:	718-395-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	953 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-8416
Country	:	US
Telephone Number	:	718-395-9400
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	IGOR KHRAPKO
Credential	:	PHARMD
Telephone Number	:	718-395-9400

Provider Enumeration Date	:	10/22/2012
Last Update Date	:	04/21/2025

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Directions to “FAIRFIELD PHARMACY INC ” Practice Location

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