Organization Active NPI

Prime Health Inc

Doing business as The Chemist Shop

  • Community/Retail Pharmacy
  • Long Island City, NY
National Provider Identifier
1790073906
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030754 Issued in NY
Legal business name
PRIME HEALTH INC
Doing business as
The Chemist Shop
Practice address
3015 38TH Ave
Long Island City, NY 11101-2609
Phone
(718) 472-0900
Fax
(718) 472-0909
NPI assigned
Jul 21, 2011
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Joseph GalloNPI 1992028401
Title
President/Supervising Pharmaci
Phone
(718) 472-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 030754 NY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3015 38TH Ave
Long Island City, NY 11101-2609

Mailing address

3015 38TH Ave
Long Island City, NY 11101-2609
Phone (718) 472-0900

Other identifiers 2

IdentifierTypeStateIssuer
03368467MedicaidNY
2131265OtherPK

Other names 1

  • The Chemist Shop Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111101000099 NY DME Supplier - Pharmacy 9537332952 Practice locations: Long Island City, NY
O20240620001564 NY Part B Supplier - Pharmacy 9537332952 Practice locations: Long Island City, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Prime Health Inc3015 38TH Ave, Long Island City, NY 11101-2609(718) 472-0900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 14, 2011

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3015 38th Ave
Long Island City, NY 11101
Phone (718) 472-0900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1790073906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 38TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012609",
            "telephone_number": "718-472-0900",
            "fax_number": "718-472-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 38TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012609",
            "telephone_number": "718-472-0900",
            "fax_number": "718-472-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/SUPERVISING PHARMACI",
        "authorized_official_telephone_number": "718-472-0900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030754",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03368467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chemist Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.