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PROHEALTH PHARMACY INC NPI 1831296763


NPI Information

NPI: 1831296763
Provider Name: PROHEALTH PHARMACY INC

Doing Business As: PROHEALTH PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 33D2211205

Address:
385 2ND AVE
NEW YORK, NY
ZIP 10010
Phone: (212) 684-8300
Get Directions

PROHEALTH PHARMACY INC is a community/retail pharmacy pharmacy in New York, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PROHEALTH PHARMACY INC NPI is 1831296763. The provider is registered as an organization entity type.
The provider Is Doing Business As Prohealth Pharmacy.

The provider's business location address is:

385 2ND AVE
NEW YORK, NY
ZIP 10010-617
Phone: (212) 684-8300
Fax: (212) 684-3282

The provider's authorized official is Alex Noskov .
The authorized official title is President and has the following contact phone number (212) 684-8300.

The CLIA number assigned to this NPI record is 33D2211205 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy024569NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101994623MEDICAIDNEW YORK
22059691OTHERPK
302247836MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.