Primemed Pharmacy
LBN: Aiie Corp
Primemed Pharmacy is an health care organization with primary practice located at 12084 Queens Blvd , Kew Gardens NY 11415-1204. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Aiie Corp can be contacted via phone (718) 872-9772, or through Fattakhov, Vyacheslav via phone (718) 872-9772.
Contact Information
Primary practice address
12084 Queens Blvd
Kew Gardens NY 11415-1204
Phone: (718) 872-9772
Fax: (646) 813-1803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 035838 | New York |
Profile Details
| NPI number | 1730695164 |
|---|---|
| LBN Legal business name | Aiie Corp |
| DBA Doing business as | Primemed Pharmacy |
| Authorized official | Fattakhov, Vyacheslav |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2017 |
| Last updated | Oct 23rd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730695164 | NPPES |
| Other | 2175280 | PK |
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