CITYWIDE PHARMACY
NPI 1629347414
Pharmacy - Long Term Care Pharmacy in Brooklyn, NY

Q: What is Revival Pharmacy LLC's NPI number?

The NPI number for Revival Pharmacy LLC is 1629347414. It was assigned to this organization in the NPPES registry on December 22, 2011. The provider is doing business as Citywide Pharmacy.

Q: What is Revival Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since December 22, 2011

5369 KINGS HWY, BROOKLYN, NY 11203(718) 298-2222(718) 298-3333 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Citywide Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITYWIDE PHARMACY (NPI 1629347414) is a healthcare organization registered as a long term care pharmacy in Brooklyn, New York and active in the NPI registry since December 2011. The organization lists Moshe Soskin, Coo, as its authorized official.

NPPES Registry Identity

NPI1629347414

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameREVIVAL PHARMACY LLC

Location Address5369 KINGS HWYBrooklyn, NY 11203-6704

Mailing Address5359b Kings HighwayBrooklyn, NY 11203 · (718) 298-2222 · Fax (718) 298-3333

Phone(718) 298-2222

Fax(718) 298-3333

Organization SubpartNo

Authorized OfficialMoshe SoskinCoo · (718) 298-2222

Enumeration DateDecember 22, 2011

Last NPPES UpdateMarch 28, 2017

✔ NPI 1629347414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Licenses✔ Licensed in CT · 0003191✔ Licensed in PA · NP000806

Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 28RO00134300 (NJ)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 030991 (NY)

5369 KINGS HWY, Brooklyn, NY 11203

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Other Names 1

Doing Business AsCitywide Pharmacy

Other Identifiers 4

Other2134031Pk

Medicaid103260623PA

Medicare NSC6662050001

Medicaid03398001NY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN JAMES LEE PHARM.D

Pharmacist