Active NPI
Justin Vaidian
- Pharmacist
- Woonsocket, RI
National Provider Identifier
1386368470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP456510
- Practice address
- One CVS Drive
Woonsocket, RI 02895 - Phone
- (800) 746-7287
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP456510 | PA | Primary |
Addresses
Primary practice location
One CVS Drive
Woonsocket, RI 02895
Mailing address
3400 J St Apt 307
Philadelphia, PA 19134-1467
Phone (610) 393-3638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP456510 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1386368470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 J ST APT 307",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341467",
"telephone_number": "610-393-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CVS DRIVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "800-746-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIDIAN",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.