Mohini Vakil, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04255700 Issued in NJ

Practice address

329 Roseville Ave
Newark, NJ 07107-1757

Phone

(201) 952-3393

NPI assigned

Sep 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fourth Ave Pharmacy LLC

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1225130354
  NPD (past)

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1033997291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 ROSEVILLE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071757",
            "telephone_number": "973-483-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 ROSEVILLE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071757",
            "telephone_number": "201-952-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKIL",
        "first_name": "MOHINI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04255700",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP456388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V.D.Bodas, M.D.
• Vivek K. Vadehra, M.D.
• Vipul Vadher
• Parth Ashok Vaghani, MD
• Shreya Vakharia
• Vakratunda Inc
• Vakratunda Inc
• Vakratunda Inc
• Vakratunda Inc.
• Tatiana Valderrama, APN-C

• Pharmacist in Newark, NJ
• Providers in Newark, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.