Prestige RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035825 Issued in NY

Legal business name

PRESTIGE RX LLC

Doing business as

Prestige Rx LLC

Practice address

858 Dekalb Ave
Brooklyn, NY 11221-1402

Phone

(646) 517-0370

Fax

(646) 517-0372

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Salim Faour

Title

Onwer

Phone

(646) 517-0370

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Prestige Rx LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Prestige RX 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.

• Prestige RX LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1598595282
  NPD tax ID

Locations

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.

• Prestige RX LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1598595282
  NPPES parent name

Practitioners 1

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

• Horng-Mian Huang, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1003589771
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1316463441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11221",
            "telephone_number": "646-517-0370",
            "fax_number": "646-517-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211402",
            "telephone_number": "646-517-0370",
            "fax_number": "646-517-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "FAOUR",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "646-517-0370"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05082839",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salvatore Presti, MD
• Prestige Care Pharmacy Inc
• Prestige Eye Care Inc
• Prestige Medical Supply Inc
• Prestige Rehabilitation & OT PC
• Prestige RX LLC
• Prestige Y Corp
• Ashlen Prestigiacomo
• Jo-Elena Prestigiacomo, FNP
• Prestigious Supply LLC

• 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 Feb 18, 2022; 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.