Active NPI
Primemed Pharmacy LLC
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1972472546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PRIMEMED PHARMACY LLC
- Practice address
- 486 Lincoln PL Unit 1G
Brooklyn, NY 11238-6202 - Phone
- (251) 408-7261
- NPI assigned
- Nov 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muralidhar Mupparaju
- Title
- Member
- Phone
- (251) 408-7261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
486 Lincoln PL Unit 1G
Brooklyn, NY 11238-6202
Mailing address
486 Lincoln PL Unit 1G
Brooklyn, NY 11238-6202
Phone (251) 408-7261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107001745 | NY | Part B Supplier - Pharmacy | 2264918598 | Practice locations: Brooklyn, NY |
| O20260112001092 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2264918598 | Practice locations: Brooklyn, NY |
| O20260217001886 | NY | DME Supplier - Pharmacy | 2264918598 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Primemed Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1972472546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 LINCOLN PL UNIT 1G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386202",
"telephone_number": "251-408-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 LINCOLN PL UNIT 1G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386202",
"telephone_number": "251-408-7261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMEMED PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "MUPPARAJU",
"authorized_official_first_name": "MURALIDHAR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "251-408-7261"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail 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 Nov 3, 2025; 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.