Organization Active NPI

VLS Pharmacy Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1346385820
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
018418 Issued in NY
Legal business name
VLS PHARMACY INC
Practice address
4402 5TH Ave
Brooklyn, NY 11220-1204
Phone
(718) 854-1384
NPI assigned
Feb 21, 2007
Last updated
Aug 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Authorized official

Name
Mr. Gopesh M Patel, BSNPI 1982852307
Title
Pharmacist
Phone
(718) 854-1384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 018418 NY Primary

Addresses

Primary practice location

4402 5TH Ave
Brooklyn, NY 11220-1204

Mailing address

4402 5TH Ave
Brooklyn, NY 11220-1204
Phone (718) 854-1384

Other identifiers 1

IdentifierTypeStateIssuer
01652542MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930098598 NY DME Supplier - Pharmacy 5294941316 Practice locations: Brooklyn, NY
O20150923000987 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5294941316 Practice locations: Brooklyn, NY
O20251216004576 NY Part B Supplier - Pharmacy 5294941316 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
VLS Pharmacy Inc.4402 5TH Ave, Brooklyn, NY 11220-1204(718) 854-1384 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Apr 27, 2003

National Provider Directory

National Provider Directory

Locations

4402 5th Ave
Brooklyn, NY 11220
Phone (516) 680-2827

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1346385820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201204",
            "telephone_number": "718-854-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201204",
            "telephone_number": "718-854-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GOPESH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-854-1384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.