NPIMap

Organization Active NPI

Prime Health Pharmacy LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1912737693
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PRIME HEALTH PHARMACY LLC
Practice address
1417 Bedford Ave
Brooklyn, NY 11216-4843
Phone
(718) 676-4405
Fax
(718) 676-4461
NPI assigned
Aug 6, 2024
Organization subpart
Yes
Parent organization
PRIME HEALTH PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Salim Faour, PHARMD
Title
Manager
Phone
(917) 442-2705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1417 Bedford Ave
Brooklyn, NY 11216-4843

Mailing address

1417 Bedford Ave
Brooklyn, NY 11216-4843
Phone (718) 676-4405

National Provider Directory

National Provider Directory
Tax ID family
Prime Health Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Prime Health Pharmacy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1912737693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164843",
            "telephone_number": "718-676-4405",
            "fax_number": "718-676-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164843",
            "telephone_number": "718-676-4405",
            "fax_number": "718-676-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTH PHARMACY LLC",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "FAOUR",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-442-2705",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.