Organization Active NPI

Vijan Pharma Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1386918852
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
031505 Issued in NY
Legal business name
VIJAN PHARMA INC
Practice address
312 Ralph Ave
Brooklyn, NY 11233-3022
Phone
(718) 774-6800
Fax
(718) 774-1776
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Rathna Veeramachanani
Title
President
Phone
(201) 780-7210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 031505 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

312 Ralph Ave
Brooklyn, NY 11233-3022

Mailing address

312 Ralph Ave
Brooklyn, NY 11233-3022
Phone (718) 774-6800

Other identifiers 1

IdentifierTypeStateIssuer
2138615OtherPK

Other names 1

  • SURE DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130102000085 NY DME Supplier - Pharmacy 6103079066 Practice locations: Brooklyn, NY
O20160420001315 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6103079066 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vijan Pharma Inc312 Ralph Ave, Brooklyn, NY 11233-3022(718) 774-6800 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Urological Supplies|Enteral Nutrients|Diabetic Shoes and Inser… Accepts assignmentParticipating since Jun 7, 2016

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1386918852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333022",
            "telephone_number": "718-774-6800",
            "fax_number": "718-774-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333022",
            "telephone_number": "718-774-6800",
            "fax_number": "718-774-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "VEERAMACHANANI",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-780-7210"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031505",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.