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Revival Pharmacy LLC

Long Term Care Pharmacy in Brooklyn, NY · enumerated 2011 · authorized official Moshe Soskin, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629347414

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Registry record

Entity type Organization (Type 2)
Legal business name Revival Pharmacy LLC
Other name <Unavail>
Practice address 5369 Kings Hwy, Brooklyn, NY, 11203
Fax (718) 298-3333
Enumeration date Dec 22, 2011
Last updated in NPPES Mar 28, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers · License 28RO00134300 (NJ) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 030991 (NY) Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License NP000806 (PA) Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 0003191 (CT) Primary

Authorized official

Name Moshe Soskin
Title Coo

Other identifiers

Identifier Type State Issuer
103260623 Medicaid PA -
2134031 Other - PK
03398001 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Revival Pharmacy LLC?
The NPI for Revival Pharmacy LLC is 1629347414, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revival Pharmacy LLC?
NPPES lists Moshe Soskin (Coo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-28.