Organization Active NPI

Baalaajee Inc

  • Community/Retail Pharmacy
  • Roanoke, VA
National Provider Identifier
1205911666
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000940 Issued in VA
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

Updated by the provider on Sep 3, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4803765OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Williamson Road Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.