Vip Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VIP PHARMACY INC

Doing business as

Indigo Generics, Inc

Practice address

5669 NW 195TH Dr
Miami Gardens, FL 33055-6112

Phone

(305) 961-1629

Fax

(305) 623-3858

NPI assigned

Feb 1, 2011

Last updated

Feb 8, 2011By 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

Lorie Gress

Title

Owner

Phone

(305) 961-1629

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Indigo Generics, Inc Doing business as

Locations

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1376849810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 NW 195TH DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330556112",
            "telephone_number": "305-961-1629",
            "fax_number": "305-623-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 NW 195TH DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330556112",
            "telephone_number": "305-961-1629",
            "fax_number": "305-623-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "GRESS",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-961-1629"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5704057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigo Generics, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.