Prime Care Drug & Surgicals Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031536 Issued in NY

Legal business name

PRIME CARE DRUG & SURGICALS CORP

Doing business as

prime care drug & surgicals corp

Practice address

2066 Flatbush Ave
Brooklyn, NY 11234-4314

Phone

(718) 513-6644

Fax

(718) 513-6449

NPI assigned

Sep 12, 2012

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arthur J. Byrd

Title

Chief Financial Officer

Phone

(718) 748-7447

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• prime care drug & surgicals corp Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prime Care Drug & Surgicals Corp

  • Pharmacy
  • Brooklyn, NY
  • NPI 1720856107

  O20130205000199

  Same enrollment

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1639429046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344314",
            "telephone_number": "718-513-6644",
            "fax_number": "718-513-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344314",
            "telephone_number": "718-513-6644",
            "fax_number": "718-513-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE DRUG & SURGICALS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-748-7447"
    },
    "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": "031536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137742",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03497587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prime care drug & surgicals corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "prime care drug & surgicals corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prime Care Drug & Surgicals Corp
• Prime Care Drug & Surgicals Corp.
• Prime Care Medical of Brighton PC
• Prime Care on the Bay LLC
• Prime Care Supply Inc

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 14, 2023; 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.