Medi Prime Pharmacy Inc,

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDI PRIME PHARMACY INC,

Practice address

10504 101St Ave
Ozone Park, NY 11416-2703

Phone

(347) 494-4240

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Fady GraceNPI 1780920389

Title

Owner

Phone

(347) 494-4240

Specialties & licenses 1

Addresses

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 3

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

• Fady L Grace, R,PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1780920389
  NPD Authorized official
• Mahmoud Hanaif, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1306532338
  NPD
• Fahad Javed, RPH

  • Pharmacist
  • Ozone Park, NY
  • NPI 1578415949
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1538865019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162703",
            "telephone_number": "347-494-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI PRIME PHARMACY INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-494-4240"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendyann McGuire, FNP
• Loraine Juanita McKenzie
• Nyasia McKinstry
• Melissa McLaughlin, OTR/L
• Medaid Pharmacy Inc.
• Rene S Mediavillo, M.D.
• Medrite RX Inc
• Medsys DME LLC
• Medtech Consulting
• Meera S. Boppana,MD.PC

• Community/Retail Pharmacy in Ozone Park, NY
• Providers in Ozone Park, 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 13, 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.