Revival Pharmacy Llc, NPI 1629347414
Long Term Care Pharmacy in Brooklyn, NY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1629347414 |
| NPI Entity Type | Organization |
| Provider Name |
Revival Pharmacy Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 5369 Kings Hwy, Brooklyn, NY, US |
| Provider Mailing Address | 5359b Kings Highway, Brooklyn, NY, US, 11203 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Moshe Soskin |
| Official Position | COO |
| Phone | 718-298-2222 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| License No. | 0003191 |
| License State | CT |
| Description | A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 28RO00134300 | NJ | No | |||
| 030991 | NY | No | |||
| NP000806 | PA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 103260623 | PA | MEDICAID | 05 |
| 2134031 | PK | 01 | |
| 03398001 | NY | MEDICAID | 05 |
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DR. MD Diego Gerardo Cahn-hidalgo Individual |
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MR. LCSW David Sheinman-smith Individual |
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MS. LCSW-R Chelsea C Chin Individual |
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Amy Frisch Individual |
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PNP-PC Danielle Kocienda Individual |
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Latchmi D. Harparsad Individual |
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Crysta Song Individual |
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