Vijay Bandla

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

28RI02781000 Issued in NJ

Practice address

15 Farmhaven Ave
Edison, NJ 08820-3220

Phone

(973) 819-1484

NPI assigned

Jan 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Health Fair RX Inc

  • Long Term Care Pharmacy
  • Hoboken, NJ
  • NPI 1558194969
  NPD Authorized official
• Health Fair RX Inc

  • Community/Retail Pharmacy
  • Hoboken, NJ
  • NPI 1871199976
  NPD Authorized official
• Tranquil Pharm Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1902927460
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1063002483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FARMHAVEN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203220",
            "telephone_number": "973-819-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FARMHAVEN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203220",
            "telephone_number": "973-819-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDLA",
        "first_name": "VIJAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI02781000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raj Ballal, M.D.
• Kori Balmer
• Zaigham Abbas Baloch
• Balwant S Saini MD PA
• Savitra M Bandari, M.D.
• Ram Bangalore, M.D.
• Mona Bannerman
• Amit Bansal, RPH
• Vivek Bansal, M.D., MPH, FACE
• Jianxiong Richard Bao, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Edison, NJ
• Providers in Edison, NJ by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.