Active NPI
Vedic Pharmacy LLC
- Community/Retail Pharmacy
- Durham, NC
National Provider Identifier
1346566080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10528
- Legal business name
- VEDIC PHARMACY LLC
- Practice address
- 114 W Main St
Durham, NC 27701-3604 - Phone
- (919) 688-8978
- Fax
- (919) 688-8072
- NPI assigned
- Apr 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vipul Patel
- Title
- Owner
- Phone
- (919) 688-8978
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 10528 | NC | Primary |
Addresses
Primary practice location
114 W Main St
Durham, NC 27701-3604
Mailing address
114 W Main St
Durham, NC 27701-3604
Phone (919) 688-8978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125328 | Other | PK |
Other names 1
- Gurleys Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151123002489 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5395933071 |
1 other NPI on this enrollment Practice locations: Durham, NC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1346566080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 W MAIN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013604",
"telephone_number": "919-688-8978",
"fax_number": "919-688-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W MAIN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013604",
"telephone_number": "919-688-8978",
"fax_number": "919-688-8072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEDIC PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-19",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIPUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-688-8978"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "10528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2125328",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gurleys Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.