Vinlaba Greenville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00453500 Issued in NJ

Legal business name

VINLABA GREENVILLE PHARMACY INC

Practice address

1850 Kennedy Blvd
Jersey City, NJ 07305-2122

Phone

(201) 433-8002

Fax

(201) 433-4655

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Gopal Darisipudi

Title

Owner President

Phone

(201) 433-8002

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VINLABA GREENVILLE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1194886960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052122",
            "telephone_number": "201-433-8002",
            "fax_number": "201-433-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052122",
            "telephone_number": "201-433-8002",
            "fax_number": "201-433-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINLABA GREENVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "DARISIPUDI",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "201-433-8002"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00453500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4424701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VINLABA GREENVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erick Villamar
• Lawrence Villanueva, DO
• Eva Villar-Trinidad, APN
• Vilma G. Fule,M.D.,L.L.C.
• Edmermiro Viloria, M.D.,
• Andres Vinuela, M.D.
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• Rohini Vira, PHD, LMFT
• Allison Kayla Viray, OD
• Virginia Anesthesia Professionals LLC

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.