VPK Shah RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VPK SHAH RX LLC

Practice address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Phone

(240) 925-4305

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By 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

Prakruti Shah, RPHNPI 1780091454

Title

Pharmacist

Phone

(240) 925-4305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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.

• Prakruti Shah

  • Pharmacist
  • Leonardtown, MD
  • NPI 1780091454
  NPD Authorized official

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1316342983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22568 BRETMAR DR",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "240-925-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPK SHAH RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRAKRUTI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "240-925-4305",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Robert Taylor
• Karen Ann Tucker, DO
• Turning Point Peer Support, LLC
• Abigail Vallejo
• Glori Vanbrunt, LCPC
• Carolyn Wagner, M.A., CCC-SLP
• John Elliott Walker, MA RNC
• Kristen Lynn Walker, LGPC
• Linda Warren, PTA
• Nadia Wedderburn, CRNP

• Community/Retail Pharmacy in Hollywood, MD
• Providers in Hollywood, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.