Premier RX Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034498 Issued in NY

Legal business name

PREMIER RX CORP

Practice address

397 Fulton Ave
Hempstead, NY 11550-4127

Phone

(516) 483-3000

Fax

(516) 483-3000

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Roza Davydova

Title

President

Phone

(516) 483-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hempstead drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Ilyayeva, PHARMD

  • Pharmacist
  • Hempstead, NY
  • NPI 1295339992
  NPD
• Elisheva Weinman, RPA-C

  • Surgical Physician Assistant
  • Brooklyn, NY
  • NPI 1386859668
  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1245690239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504127",
            "telephone_number": "516-483-3000",
            "fax_number": "516-483-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504127",
            "telephone_number": "516-483-3000",
            "fax_number": "516-483-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-483-3000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04434795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEMPSTEAD DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hempstead drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anne Marie Edwige Prince, RN
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• Community/Retail Pharmacy in Hempstead, NY
• Providers in Hempstead, 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 Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.