Active NPI
Baalaajee Inc
- Community/Retail Pharmacy
- Roanoke, VA
National Provider Identifier
1205911666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201000940
- Legal business name
- BAALAAJEE INC
- Practice address
- 3416 Williamson Rd NW
Roanoke, VA 24012-4051 - Phone
- (540) 366-4481
- Fax
- (540) 366-7135
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandhya Vemuri
- Title
- Pharmacist in Charge / Manager
- Phone
- (540) 355-7330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201000940 | VA | Primary |
Addresses
Primary practice location
3416 Williamson Rd NW
Roanoke, VA 24012-4051
Mailing address
3416 Williamson Rd NW
Roanoke, VA 24012-4051
Phone (540) 366-4481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4803765 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Williamson Road Pharmacy
National Provider Directory
National Provider DirectoryLocations
3416 Williamson Rd NW
Roanoke, VA 24012
Phone (540) 366-1651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Roanoke, VA
- NPI 1528045382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1205911666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 WILLIAMSON RD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240124051",
"telephone_number": "540-366-4481",
"fax_number": "540-366-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 WILLIAMSON RD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240124051",
"telephone_number": "540-366-4481",
"fax_number": "540-366-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAALAAJEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "VEMURI",
"authorized_official_first_name": "SANDHYA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE / MANAGER",
"authorized_official_telephone_number": "540-355-7330"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201000940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4803765",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Williamson Road Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.