Organization Active NPI

Prime Aid Pharmacy Corp.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1841518248
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030212 Issued in NY
Legal business name
PRIME AID PHARMACY CORP.
Practice address
373 East Fordham Road
Bronx, NY 10458
Phone
(718) 220-2111
Fax
(718) 220-2112
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Alex Fleyshuiaklier
Title
Owner
Phone
(218) 220-2111

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Community/Retail Pharmacy 3336C0003X 030212 NY Primary
Mail Order Pharmacy 3336M0002X 030212 NY
Specialty Pharmacy 3336S0011X 030212 NY

Addresses

Primary practice location

373 East Fordham Road
Bronx, NY 10458

Mailing address

373 East Fordham Road
Bronx, NY 10458
Phone (718) 220-2111

National Provider Directory

National Provider Directory

Locations

373 E Fordham Rd
Bronx, NY 10458
Phone (718) 220-2111

Practitioners & affiliated clinicians

Practitioners 1

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": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1841518248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 EAST FORDHAM ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-220-2111",
            "fax_number": "718-220-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 EAST FORDHAM ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-220-2111",
            "fax_number": "718-220-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME AID PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "FLEYSHUIAKLIER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-220-2111"
    },
    "taxonomies": [
        {
            "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030212",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NY",
            "license": "030212",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "030212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.