NPIMap

Organization Active NPI

VJKR LTD

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1528366192
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009523 Issued in MI
Legal business name
VJKR LTD
Practice address
5097 Miller Rd
Flint, MI 48507-1066
Phone
(810) 715-5470
Fax
(810) 715-5475
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Vijay Raval
Title
President
Phone
(810) 715-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009523 MI Primary

Addresses

Primary practice location

5097 Miller Rd
Flint, MI 48507-1066

Mailing address

5097 Miller Rd
Flint, MI 48507-1066
Phone (810) 715-5470

Other identifiers 1

IdentifierTypeStateIssuer
2375360OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Noble Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5097 Miller Rd
Flint, MI 48507
Phone (810) 588-0502

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1528366192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071066",
            "telephone_number": "810-715-5470",
            "fax_number": "810-715-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071066",
            "telephone_number": "810-715-5470",
            "fax_number": "810-715-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VJKR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-715-5470"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2375360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.