FQHC look-alike · NY
PREMIUM HEALTH, INC
- 0Registered locations
- 4Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 July 2025In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “PREMIUM HEALTH, INC” (340B ID FQHCLA489C), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHCLA489C
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2025
- Certification date
- 4 February 2026
- Record last edited
- 1 June 2026
Identifiers
- 340B ID
- FQHCLA489C
- Entity type as filed
- FQHCLA
- Site ID
- BPS-LAL-040190
- Grant number
- LALCS54792
- NPI
- 1083227235 (NY)
4510 16th Avenue FL 4, Brooklyn NY 11204
Associated locations
| Organization | Address | Where |
|---|---|---|
| PREMIUM HEALTH, INC | 4510 16th Avenue FL 4 | Brooklyn NY 11204 |
| Premium Health Inc. dba Premium Rx | 1010 McDonald Ave | Brooklyn NY 11230 |
| Premium Rx | 4510 16th Avenue, 3rd Floor | Brooklyn NY 11204 |
| Premium Health Inc. dba Premium Health Rx | 1212 Seagirt Blvd, Suite 301 | Far Rockaway NY 11691 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.