Pro Life Apothecary Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027558 Issued in NY

Legal business name

PRO LIFE APOTHECARY CORP

Practice address

1235 1St Ave
New York, NY 10065-6311

Phone

(212) 628-1110

Fax

(212) 628-1117

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

David Restepo, RPH

Title

Secretary

Phone

(212) 628-1110

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• VITAHEALTH APOTHECARY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• David R Restrepo, PHARMACIST

  • Pharmacist
  • New York, NY
  • NPI 1003859968
  NPD
• Alex Sapir, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1689998064
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1376657353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656311",
            "telephone_number": "212-628-1110",
            "fax_number": "212-628-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656311",
            "telephone_number": "212-628-1110",
            "fax_number": "212-628-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO LIFE APOTHECARY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "RESTEPO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "212-628-1110",
        "authorized_official_credential": "RPH"
    },
    "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": "027558",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02779573",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAHEALTH APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anusha Priya, M.D., PH.D
• Benjamin Michael Prizer, MD
• Melissa Prizzi
• Prny, PC
• Pro Aid Pharmacy Inc
• Pro RX Inc
• Pro Ultrasound Service
• Pro-Medical New York PLLC
• Barbara Pro, M.D.
• Julie Ann Probst-Riordan, M.D.

• 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 Feb 5, 2016; 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.