PRIME HEALTH PHARMACY LLC


Address: 1514 Wadsworth Ave, Philadelphia, PA 19150
Phone: 6104004233

PRIME HEALTH PHARMACY LLC (NPI# 1326553074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326553074
Entity Type Organization
Organization Name PRIME HEALTH PHARMACY LLC
Practice Address 1514 Wadsworth Ave
Philadelphia
PA 19150
Mailing Address 1514 E Wadsworth Ave
Philadelphia
PA 19150-1616
Practice Telephone 6104004233
Mailing Telephone 2673315490
Enumeration Date 2017-12-04
Last Update Date 2019-11-13
Authorized Official Name ONYINYECHI EZEUGO (PHARMACIST)
Authorized Official Telephone 2673315490
Authorized Official Credential PHARM.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy PA Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316343726 Prime Health Pharmacy LLC Pharmacy 1417 Bedford Ave, Brooklyn, NY 11216-3506 2014-11-12

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations PRIME HEALTH PHARMACY LLC 99 Washington Ave, Suite 1008, Albany, Ny 12260

Office Location

Street Address 1514 WADSWORTH AVE
City PHILADELPHIA
State PA
Zip Code 19150

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821589615 Covenant House, Inc Clinic/Center 2385 W Cheltenham Ave., Philadelphia, PA 19150 2018-05-29
1609319797 Ivy Hill Rehab Center LLC Skilled Nursing Facility 140 Ivy Hill Road, Wyndmoor, PA 19150 2016-11-22
1831563857 Kutest Kids Early Intervention Provider Agency 7811 Cedarbrook Avenue, Philadelphia, PA 19150 2015-11-16
1487044020 Stefanie Black Pharmacy Technician 2527 Target Pharmacy, Philadelphia, PA 19150 2015-02-04
1003206590 Fatima Jackson Pharmacy Technician 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 2015-02-04
1215351762 Hilltop Medical Associates, PC General Practice 2350 W. Cheltenham Ave, Philadelphia, PA 19150 2014-02-04
1801219472 Fatima Bangura Registered Nurse Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 2014-02-01
1386082089 Enjalee Jennifer Thomas-finnagan Behavioral Analyst 8324 Temple Rd, Phila, PA 19150 2013-06-05
1235572538 Blessy Mathew Nurse Practitioner 2385 Cheltenham Avenue, Philadelphia, PA 19150 2013-04-17
1942544697 Walter L. Patterson Jr. General Practice 1501 E. Wadsworth Ave., Philadelphia, PA 19150 2012-11-19
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912536517 Hsjc LLC Pharmacy 4165 N Franklin St, Philadelphia, PA 19140-2207 2020-04-06
1750926119 Dharm Nandan LLC Pharmacy 3808 Morrell Ave, Philadelphia, PA 19114-1915 2019-11-08
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1346883451 Dragon Pharmacy 99, LLC Pharmacy 2842 Saint Vincent St Unit A2, Philadelphia, PA 19149-1454 2019-10-21
1609417070 Sdarbouze Apothecary Inc. Pharmacy 5751 N Broad St Ste 3, Philadelphia, PA 19141-2302 2019-10-07
1912550575 Shwartz Rx 5610 Inc. Pharmacy 5610 Lancaster Ave Ste 200, Philadelphia, PA 19131-3440 2019-07-22
1487112405 Sunray Chester LLC Pharmacy 5518 Chester Ave, Philadelphia, PA 19143-5328 2019-03-08
1669954210 Wellmart Pharmacy Inc. Pharmacy 2363 E Allegheny Ave, Philadelphia, PA 19134-4431 2018-08-30
1902383185 Tb Pharmacy Inc. Pharmacy 4931 N Broad St, Philadelphia, PA 19141-2215 2018-07-20
1154827103 Gilead Pharmacy Inc Pharmacy 1226 N 52nd St Fl 1, Philadelphia, PA 19131-4315 2018-03-30
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Competitor

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City PHILADELPHIA
Zip Code 19150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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