REVIVAL PHARMACY LLC
REVIVAL PHARMACY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629347414, based in Brooklyn, NY. The organization lists 3 taxonomy classifications, with Long Term Care Pharmacy recorded as primary.
Getting there
The practice address on file is 5369 KINGS HWY, Brooklyn, NY 11203. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 28RO00134300 | NJ | Pharmacy |
| 030991 | NY | Community/Retail Pharmacy |
| NP000806 | PA | Long Term Care Pharmacy |
| 0003191 | CT | Long Term Care Pharmacy primary |
Licences are recorded in 4 states: NJ, NY, PA, CT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 4 states
This provider holds licences in 4 states: Connecticut, New Jersey, New York and Pennsylvania. The practice address on file is in Brooklyn, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 030991
- Specialty
- Community/Retail Pharmacy
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Long Term Care Pharmacy covers
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. NUCC Health Care Provider Taxonomy, code 3336L0003X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 333600000X | Pharmacy | 28RO00134300 | NJ | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 030991 | NY | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | NP000806 | PA | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | 0003191 | CT | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629347414 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 22, 2011 |
| Last updated | Mar 28, 2017 |
| Status | Active |
| Practice address |
5369 KINGS HWY Brooklyn, NY 11203 (718) 298-2222 Fax (718) 298-3333 |
| Mailing address |
5359B KINGS HIGHWAY Brooklyn, NY 11203 |
| Other names |
Citywide Pharmacy Former Legal Name |
| Other identifiers |
03398001
· Medicaid (NY) 103260623 · Medicaid (PA) 2134031 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 3 | 4 | 7 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 6 | 4 | 5 | 4 | 2 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.