Organization Active NPI

Vava Pharmacy Inc.

Doing business as Welcome Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1447221023
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025421 Issued in NY
Legal business name
VAVA PHARMACY INC.
Doing business as
Welcome Pharmacy
Practice address
1403 Foster Ave
Brooklyn, NY 11230-1726
Phone
(718) 724-1333
Fax
(718) 724-2333
NPI assigned
Jan 31, 2006
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Arkadiy Takhalov
Title
Secretary
Phone
(718) 724-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 025421 NY Primary

Addresses

Primary practice location

1403 Foster Ave
Brooklyn, NY 11230-1726

Mailing address

1403 Foster Ave
Brooklyn, NY 11230-1726
Phone (718) 724-1333

Other identifiers 1

IdentifierTypeStateIssuer
02290673MedicaidNY

Other names 1

  • WELCOME PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930085970 NY DME Supplier - PharmacyDME Supplier - Certified Orth/Pros/Pedorthist 0042424590 Practice locations: Brooklyn, NY
O20211119001229 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0042424590 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
Vava Pharmacy Inc.1403 Foster Ave, Brooklyn, NY 11230-1726(718) 724-1333 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Aug 1, 2002

National Provider Directory

National Provider Directory

Locations

1403 Foster Ave
Brooklyn, NY 11230
Phone (718) 724-1333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1447221023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301726",
            "telephone_number": "718-724-1333",
            "fax_number": "718-724-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301726",
            "telephone_number": "718-724-1333",
            "fax_number": "718-724-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAVA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "TAKHALOV",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-724-1333"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02290673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELCOME PHARMACY",
            "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 Aug 19, 2014; 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.