Organization Active NPI

VGJ Pharmacy

  • Pharmacy
  • Chicago, IL
National Provider Identifier
1346568706
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054017420 Issued in IL
Legal business name
VGJ PHARMACY
Practice address
1631 N Halsted St
Chicago, IL 60614-5517
Phone
(312) 664-2316
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Mr. Jatin Vora
Title
RPH
Phone
(312) 664-2316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054017420 IL Primary

Addresses

Primary practice location

1631 N Halsted St
Chicago, IL 60614-5517

Mailing address

5736 Lee St
Morton Grove, IL 60053-3120
Phone (312) 664-2316

Other identifiers 1

IdentifierTypeStateIssuer
054017420OtherILPHARMACY LIC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1346568706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 LEE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533120",
            "telephone_number": "312-664-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145517",
            "telephone_number": "312-664-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VGJ PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "JATIN",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "312-664-2316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054017420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LIC",
            "identifier": "054017420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.