Organization Active NPI

Prime Care Pharmacy Services Inc

  • Long Term Care Pharmacy
  • Yonkers, NY
National Provider Identifier
1598862856
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
027993 Issued in NY
Legal business name
PRIME CARE PHARMACY SERVICES INC
Doing business as
PRIMECARE
Practice address
5 Odell PLZ
Ste 141
Yonkers, NY 10701-1406
Phone
(914) 375-4300
Fax
(914) 457-7626
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Steve Amigdalos, BS PHARMACY
Title
VP
Phone
(914) 375-4300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 027993 NY Primary

Addresses

Primary practice location

5 Odell PLZ
Ste 141
Yonkers, NY 10701-1406

Mailing address

5 Odell PLZ
Ste 141
Yonkers, NY 10701-1406
Phone (914) 375-4300

Other identifiers 2

IdentifierTypeStateIssuer
2814684MedicaidNY
2068517OtherPK

Other names 1

  • PRIMECARE Doing business as

National Provider Directory

National Provider Directory

Locations

5 Odell Plz
Ste 141
Yonkers, NY 10701
Phone (914) 375-4300

5 Odell Plz
Ste Bc
Yonkers, NY 10701
Phone (914) 375-4300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1598862856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ODELL PLZ",
            "address_2": "STE 141",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011406",
            "telephone_number": "914-375-4300",
            "fax_number": "914-457-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ODELL PLZ",
            "address_2": "STE 141",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011406",
            "telephone_number": "914-375-4300",
            "fax_number": "914-457-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "AMIGDALOS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "914-375-4300",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "027993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2814684",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.