Vineland Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00715300 Issued in NJ

Legal business name

VINELAND PHARMA LLC

Doing business as

vineland pharmacy

Practice address

315 W Landis Ave
Vineland, NJ 08360-8104

Phone

(856) 457-5171

NPI assigned

Oct 17, 2011

Last updated

Jun 7, 2012By 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

Prem KalidindiNPI 1699102699

Title

Member/Owner

Phone

(917) 769-8014

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• vineland pharmacy Doing business as

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.

• Prem S. Kalidindi

  • Pharmacist
  • Irving, TX
  • NPI 1699102699
  NPD (past) Authorized official
• Hirenkumar B Patel, PHARMACIST

  • Pharmacist
  • Vineland, NJ
  • NPI 1528336104
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1346525805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608104",
            "telephone_number": "856-457-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608104",
            "telephone_number": "856-457-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINELAND PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "917-769-8014"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00715300",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3198214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vineland pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vineland Operating, LLC
• Vineland Operations LLC
• Vineland Operations, LLC (Lincoln Specialty Care Center)
• Vineland Oral Surgeons PA
• Vineland Pediatrics PA
• Vipin K Gupta
• Vipin Kumar Gupta , MD PA
• Luis Virella, LCSW, LCADC
• Virtua Medical Group, PA
• Veronica Vizzi, RPH, CCP

• Community/Retail Pharmacy in Vineland, NJ
• Providers in Vineland, 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 Jun 7, 2012; 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.