OrganizationActive
Revival Pharmacy LLC
NPI 1629347414 · Long Term Care Pharmacy · Brooklyn, NY
Revival Pharmacy LLC is a Long Term Care Pharmacy organization in Brooklyn, NY (NPI 1629347414).
Provider details
- NPI number
- 1629347414
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Moshe Soskin, Coo(718) 298-2222
- License
- 28RO00134300 (NJ)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5369 Kings Hwy
Brooklyn, NY 11203-6704
Phone: (718) 298-2222
Fax: (718) 298-3333
Street-level locationGet directions
Mailing address
5359b Kings Highway
Brooklyn, NY 11203
Other names (DBA / former)
- Doing business as
- Citywide Pharmacy
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2017-03-28
Frequently asked questions
- What is Revival Pharmacy LLC's NPI number?
- Revival Pharmacy LLC's National Provider Identifier (NPI) is 1629347414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Pharmacy LLC?
- Revival Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Revival Pharmacy LLC located?
- Revival Pharmacy LLC's practice location on file with NPPES is 5369 Kings Hwy, Brooklyn, NY 11203-6704.
- What is Revival Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Pharmacy LLC is (718) 298-2222.
- Who is the authorized official for Revival Pharmacy LLC?
- The authorized official listed on Revival Pharmacy LLC's NPPES record is Moshe Soskin, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Pharmacy LLC's NPI active?
- Yes — Revival Pharmacy LLC's NPI (1629347414) is active in the NPPES registry as of the last update on 2017-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.