Prime Health Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033314 Issued in NY

Legal business name

PRIME HEALTH PHARMACY LLC

Practice address

1417 Bedford Ave
Brooklyn, NY 11216-3506

Phone

(718) 676-4405

Fax

(718) 676-4461

NPI assigned

Nov 12, 2014

Last updated

Aug 6, 2024By 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. David Faour, PHARM.DNPI 1518247741

Title

Owner

Phone

(917) 498-1566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Prime Health Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Health Pharmacy LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1912737693
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Prime Health Pharmacy LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1912737693
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Faour

  • Pharmacist
  • Brooklyn, NY
  • NPI 1518247741
  Authorized official Same address or phone
• Ashraf Ahmed Ibrahim

  • Pharmacist
  • Brooklyn, NY
  • NPI 1730959214
  NPD (past)
• David Joijati

  • Pharmacist
  • Brooklyn, NY
  • NPI 1861175952
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1316343726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163506",
            "telephone_number": "718-676-4405",
            "fax_number": "718-676-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163506",
            "telephone_number": "718-676-4405",
            "fax_number": "718-676-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "FAOUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-498-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prime Health Pharmacy LLC
• Prime Health Physical Therapy and Rehabilitation P. C.
• Prime Home Health Services, LLC
• Prime Home Health Services, LLC
• Prime Independence Care Inc

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 6, 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.