Organization Active NPI

Prime Psi Inc

Doing business as Falak LTC

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1053356261
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
027712 Issued in NY
Legal business name
PRIME PSI INC
Doing business as
Falak LTC
Practice address
2500 Saint Raymonds Ave
Ste 104
Bronx, NY 10461-3146
Phone
(718) 792-0360
Fax
(718) 792-0361
NPI assigned
Jun 19, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Fazal Rahman
Title
President
Phone
(718) 828-0428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 027712 NY Primary

Addresses

Primary practice location

2500 Saint Raymonds Ave
Ste 104
Bronx, NY 10461-3146

Mailing address

2500 Saint Raymonds Ave
Ste 104
Bronx, NY 10461-3146
Phone (718) 792-0360

Other identifiers 2

IdentifierTypeStateIssuer
3350410OtherNCPDP PROVIDER IDENTIFICATION NUMBER
02749351MedicaidNY

Other names 1

  • FALAK LTC Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Saint Raymonds Ave
Ste 104
Bronx, NY 10461
Phone (718) 792-0360

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1053356261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SAINT RAYMONDS AVE",
            "address_2": "STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613146",
            "telephone_number": "718-792-0360",
            "fax_number": "718-792-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SAINT RAYMONDS AVE",
            "address_2": "STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613146",
            "telephone_number": "718-792-0360",
            "fax_number": "718-792-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PSI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "FAZAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-828-0428"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "027712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3350410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02749351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALAK LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.