Vida Sana Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

036632 Issued in NY

Legal business name

VIDA SANA PHARMACY INC.

Practice address

8820 37TH Ave
Jackson Heights, NY 11372

Phone

(718) 433-9800

Fax

(718) 433-9898

NPI assigned

Jul 5, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Woei Chen Lee

Title

Owner

Phone

(718) 433-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ting Chen Lee, PHARMD

  • Pharmacist
  • Elmhurst, NY
  • NPI 1629246723
  NPD
• Christopher Lee

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1457172579
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1295221067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727737",
            "telephone_number": "718-433-9800",
            "fax_number": "718-433-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-433-9800",
            "fax_number": "718-433-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA SANA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WOEI CHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-433-9800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "036632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vesper Shield Corp
• Victor Chen Podiatrist, PC
• Vanessa Victoria, RP.A.-C
• Maria Vicuna
• Vida Care Pharmacy LLC
• Vijay K Chhabra Physician PC
• Pachuska Vil-Audain
• Lizeth V Villa
• Andrea Villalobos, DPT
• Susana Villalobos, LCSW

• Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.