Prime Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRIME PHARMACY INC

Doing business as

Prime Pharmacy

Practice address

4515 Greenpoint Ave
Sunnyside, NY 11104-2409

Phone

(718) 786-6600

Fax

(718) 786-6602

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Azat Mets-Hagopian

Title

President

Phone

(718) 786-6600

Specialties & licenses 1

Addresses

Other names 1

• PRIME PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Dawei Xia

  • Pharmacist
  • New York, NY
  • NPI 1013558618
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1568957322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042409",
            "telephone_number": "718-786-6600",
            "fax_number": "718-786-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042409",
            "telephone_number": "718-786-6600",
            "fax_number": "718-786-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "METS-HAGOPIAN",
        "authorized_official_first_name": "AZAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-786-6600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Jose Perez
• Physician Healthcare Network,PC
• Corinna Popescu
• Damien Pratt, LCSW, CASAC 2
• Prestige Drugs Inc. (New Neighborhood Pharmacy)
• Marthahall Ramadan, BS PHARMACY
• Cledis Ramirez-McTeir, OD
• Angelica Ramnarain, PHARM. D
• Nereida Reyes
• Tara Genniveve Rigatti, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.