Organization Active NPI

VP Drugs LLC

Doing business as Citihealth Rx

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1578029849
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VP DRUGS LLC
Doing business as
Citihealth Rx
Practice address
23 Court St
Newark, NJ 07102-2693
Phone
(862) 772-0442
Fax
(973) 732-5504
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Larisa Davydova
Title
Managing Member
Phone
(862) 772-0442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

23 Court St
Newark, NJ 07102-2693

Mailing address

23 Court St
Newark, NJ 07102-2693
Phone (862) 772-0442

Other names 1

  • Citihealth Rx Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20191024002536 NJ DME Supplier - Pharmacy 7618209669 Practice locations: Newark, NJ
O20211119001736 NJ Part B Supplier - Pharmacy 7618209669 Practice locations: Newark, NJ
O20260101000208 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7618209669 Practice locations: Newark, NJ

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
VP Drugs LLC23 Court St, Newark, NJ 07102-2693(862) 772-0442 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 17, 2025

National Provider Directory

National Provider Directory

Locations

23 Court St
Newark, NJ 07102
Phone (862) 772-0442

Practitioners & affiliated clinicians

Practitioners 3

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1578029849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COURT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022693",
            "telephone_number": "862-772-0442",
            "fax_number": "973-732-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COURT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022693",
            "telephone_number": "862-772-0442",
            "fax_number": "973-732-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VP DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "862-772-0442"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citihealth Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citihealth Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.