Vital Plus Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00753500 Issued in NJ

Legal business name

VITAL PLUS PHARMACY INC

Practice address

10 W Broadway
Paterson, NJ 07505-1032

Phone

(862) 267-0385

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Clara Tan

Title

Ao

Phone

(862) 267-0385

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1255875969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051032",
            "telephone_number": "862-267-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PLUS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "862-267-0385"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00753500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558851",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent de Filippi, M.D., LLC
• Vinculo Health Management NJ Corp
• Shayna Virgo
• Vista Womens Healthcare P.a
• Vital Link Medical Transport
• Michelle Susan Vitale, A.P.N.
• Vitality Medical Associates
• Gustavo A Vivas, RRT
• Nikole Voigt, RD, CDE
• Dhara Vora, PT, DPT

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, 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 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.