Revival Pharmacy Llc, NPI 1629347414
Long Term Care Pharmacy in Brooklyn, NY, US

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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
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Organization Official

Official Name Moshe Soskin
Official Position COO
Phone 718-298-2222

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

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.

Other Organization Name

CITYWIDE PHARMACY
Doing Business As

Business Address

Revival Pharmacy Llc
5369 Kings Hwy

Brooklyn, NY, US

Phone: 718-298-2222
Fax: 718-298-3333

Mailing Address

Revival Pharmacy Llc
5359b Kings Highway
Brooklyn, NY, US
ZIP 11203
Phone: 718-298-2222
Fax: 718-298-3333

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

28RO00134300 NJ No

3336C0003X

Suppliers

Pharmacy

030991 NY No

3336L0003X

Suppliers

Pharmacy

NP000806 PA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
103260623 PA MEDICAID 05
2134031 PK 01
03398001 NY MEDICAID 05

Other Providers in NY, US

NPI Name Taxonomy Address

1760136907

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MD George Baker Plain

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Brooke O'connor

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MD Catherine Chiu Tan

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1366550162

MD Bernedette P Minnella

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DR. MD Diego Gerardo Cahn-hidalgo

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DR. O.D.,M.S. Benjamin Menlah Arthur

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MISS PA-C Lauren Rose Kelly

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234 E 149th St

Bronx, NY

1043540255

MRS. LPN Pepper L Richardson

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MR. LCSW David Sheinman-smith

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39 W 14th St Ste 506

New York, NY

1245722578

Angela C. Turner Dougherty

Individual

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MS. LCSW-R Chelsea C Chin

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1952039703

It's A Girl Thing Counseling Amy Frisch Lcsw, Pllc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

5 College Ave

New Paltz, NY

1801934948

Amy Frisch

Individual

Clinical Social Worker

5 College Ave

New Paltz, NY

1700509841

PNP-PC Danielle Kocienda

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Pediatric Nurse Practitioner

223 E 34th St

New York, NY

1851991483

Latchmi D. Harparsad

Individual

Speech-Language Pathologist

15050 14th Rd

Whitestone, NY

1336773225

Crysta Song

Individual

Speech-Language Pathologist

212 Garretson Ave

Staten Island, NY

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