Prohealth Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024569 Issued in NY

Legal business name

PROHEALTH PHARMACY INC

Practice address

385 2ND Ave
New York, NY 10010-4617

Phone

(212) 684-8300

Fax

(212) 684-3282

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Alex NoskovNPI 1265756654

Title

President

Phone

(212) 684-8300

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• PROHEALTH PHARMACY Doing business as

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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Alex Noskov, R.PH.

  • Pharmacist
  • New York, NY
  • NPI 1265756654
  NPD Authorized official
• Meyrav Zelkin, PHARM D

  • Pharmacist
  • New York, NY
  • NPI 1124406897
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1831296763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104617",
            "telephone_number": "212-684-8300",
            "fax_number": "212-684-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104617",
            "telephone_number": "212-684-8300",
            "fax_number": "212-684-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "NOSKOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-684-8300"
    },
    "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": "024569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01994623",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247836",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROHEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prohealth Care Associates LLP
• Prohealth Care Associates, LLP
• Prohealth Care Associates, LLP
• Prohealth Care Associates, LLP
• Prohealth Care Associates, LLP
• Bridgette Rose Proietti, MS, CCC-SLP
• Project Ohr, Inc.
• Project Physical Therapy LLC
• Project Renewal
• Project Renewal

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Apr 7, 2014; 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.