Prime Specialty Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRIME SPECIALTY PHARMACY LLC

Practice address

904 Avenue U
Brooklyn, NY 11223-4162

Phone

(929) 568-6633

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Ribi Mirakov

Title

Manager

Phone

(929) 568-6633

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alice Belenky

  • Pharmacist
  • Brooklyn, NY
  • NPI 1124509732
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1487353546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234162",
            "telephone_number": "929-568-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "MIRAKOV",
        "authorized_official_first_name": "RIBI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "929-568-6633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Movers Physical Therapy, PLLC
• Prime Physique Physical Therapy
• Prime Quality Medical Care PC
• Prime Rehab PT, PLLC
• Prime Riv
• Prime Surgical Supply Inc
• Leona M Prime, SPED
• Charles Anthony Primeau, LCSW
• Primemed Pharmacy LLC
• Primetime Medical Supply Inc.

• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.