Mammen Cherian Vaidian

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP445190 Issued in PA

Practice address

3461 Horizon Blvd
Trevose, PA 19053-4967

Phone

(215) 942-7483

NPI assigned

Nov 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VC Home Care LLC

  • In Home Supportive Care Agency
  • Huntingdon Valley, PA
  • NPI 1740992999
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1447851779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 HORIZON BLVD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534967",
            "telephone_number": "215-942-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 HORIZON BLVD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534967",
            "telephone_number": "215-942-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDIAN",
        "first_name": "MAMMEN",
        "middle_name": "CHERIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Progressions Companies, Inc.
• Transitional Care Solutions
• Trevose Specialty Care Surgical Center, LLC
• Priscilla Korto a Tyler, CRNP-PC
• V V L S Pharmacy LLC
• Michelle Verona, RD
• Ava Votta
• Ramagopal Vudathu
• Wal-Mart Stores East , LP
• Wal-Mart Stores East, LP

• Pharmacist in Trevose, PA
• Providers in Trevose, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.