Organization Active NPI

Pro RX Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1144607631
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
000000 Issued in NY
Legal business name
PRO RX INC
Doing business as
VIM DRUGS
Practice address
3835 Broadway
New York, NY 10032-1510
Phone
(212) 927-0220
Fax
(212) 927-8651
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Manoj Barot, RPH
Title
President
Phone
(212) 927-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 000000 NY Primary

Addresses

Primary practice location

3835 Broadway
New York, NY 10032-1510

Mailing address

3835 Broadway
New York, NY 10032-1510
Phone (212) 927-0220

Other names 1

  • VIM DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160212000932 NY DME Supplier - Pharmacy 3577867407 Practice locations: New York, NY
O20250425000148 NY Part B Supplier - Pharmacy 3577867407 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

3835 Broadway
New York, NY 10032
Phone (212) 927-0220

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1144607631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321510",
            "telephone_number": "212-927-0220",
            "fax_number": "212-927-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321510",
            "telephone_number": "212-927-0220",
            "fax_number": "212-927-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "BAROT",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-927-0220",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIM DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.