Prime Drugs Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031407 Issued in NY

Legal business name

PRIME DRUGS CORP.

Practice address

22417A Union Tpke
Oakland Gardens, NY 11364-3631

Phone

(718) 749-5021

NPI assigned

Jun 11, 2013

Last updated

Jun 11, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yuiry Davydov

Title

President

Phone

(718) 749-5021

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1003254194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22417A UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643631",
            "telephone_number": "718-749-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22417A UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643631",
            "telephone_number": "718-749-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DRUGS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVYDOV",
        "authorized_official_first_name": "YUIRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-749-5021",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jonathan Perez, DPT
• Jeffrey Mark Phillip, D.D.S.
• Kelly Phillips
• Liran Pinhasov, LAC
• Nelida Portella, M.S.
• Michael Joseph Puleio, LBA
• Melissa Lyn Pullin, LCSW
• Queens Medical Health Wellness PC
• Edwin Angel Quinones
• Rajesh Raina, M.D.

• Community/Retail Pharmacy in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.