Organization Active NPI

Vizzoni's Pharmacy L.L.C

  • Pharmacy
  • Trenton, NJ
National Provider Identifier
1548281694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00330200 Issued in NJ
Legal business name
VIZZONI'S PHARMACY L.L.C
Practice address
1616 S Broad St
Trenton, NJ 08610-6036
Phone
(609) 394-5784
Fax
(609) 394-5131
NPI assigned
Jul 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dominick J Vizzoni, PHARM D
Title
Owner
Phone
(609) 394-5784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00330200 NJ Primary

Addresses

Primary practice location

1616 S Broad St
Trenton, NJ 08610-6036

Mailing address

1616 S Broad St
Trenton, NJ 08610-6036
Phone (609) 394-5784

Other identifiers 1

IdentifierTypeStateIssuer
4287703MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548281694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106036",
            "telephone_number": "609-394-5784",
            "fax_number": "609-394-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106036",
            "telephone_number": "609-394-5784",
            "fax_number": "609-394-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZZONI'S PHARMACY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIZZONI",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-394-5784",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00330200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4287703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.