Prevail Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PREVAIL PHARMACY INC

Practice address

850 Amsterdam Ave
New York, NY 10025-5170

Phone

(917) 409-3891

Fax

(917) 409-3893

NPI assigned

Aug 8, 2021

Organization subpart

Yes

Parent organization

PREVAIL PHARMACY, INCAs reported in NPPES

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

Authorized official

Name

Jankiben Patel

Title

Supervising Pharmacist/Manager

Phone

(917) 409-3891

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Part of

Prevail Pharmacy Inc

Locations

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1114691656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255170",
            "telephone_number": "917-409-3891",
            "fax_number": "917-409-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255170",
            "telephone_number": "917-409-3891",
            "fax_number": "917-409-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVAIL PHARMACY, INC",
        "enumeration_date": "2021-08-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JANKIBEN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "917-409-3891"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tiger12.va@gmail.com",
            "affiliation": "N",
            "address_1": "850 Amsterdam Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100255170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pretty Padded Room
• Cindy Prettypaul, DO
• Shelley Preudhomme, CRNA
• Meridith Rose Preuss, LCSW
• Nicole Preuss, PA
• Jose Preval, LMHC
• David W Preven, MD
• Preventative Healthcare Medical Services of New York, PC
• Preventive Health Medical Ny, PLLC
• Preventive Lifestyle Assistance Network Marci Kenon Sole MBR

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.