Vabbypharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VABBYPHARMA LLC

Practice address

3195 S Mount Juliet Rd Ste 104
Mount Juliet, TN 37122-1568

Phone

(615) 470-5062

Fax

(615) 470-5281

NPI assigned

Sep 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victoria Boahemaa PokuNPI 1750912804

Title

Pic

Phone

(615) 470-5062

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Boahemaa Poku, PHARMD

  • Pharmacist
  • Mt Juliet, TN
  • NPI 1750912804
  NPD Authorized official
• Barima Poku, MD

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1750728143
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1003538190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 S MOUNT JULIET RD STE 104",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371221568",
            "telephone_number": "615-470-5062",
            "fax_number": "514-470-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 S MOUNT JULIET RD STE 104",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371221568",
            "telephone_number": "615-470-5062",
            "fax_number": "615-470-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VABBYPHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "POKU",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "BOAHEMAA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "615-470-5062",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q079870",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AdvanceRx",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3195 S Mount Juliet Rd Ste 104",
            "city": "Mount Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371221568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly L Tuzzio, MOT, OTR/L
• Twin Lakes Dental Care PLLC
• Anna Underwood
• Jennifer Ungethum
• Taylor Unklesbay
• James Valentine, PHARMD
• Donald R Van Slee, DC
• Stephanie Michelle Vander Velden, MHR, ATC
• Kelly Jean Vanhoven, M.A., CCC-SLP
• Rebecca Varela

• Community/Retail Pharmacy in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.