Vaishnavi Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030788 Issued in NY

Legal business name

VAISHNAVI PHARMACY INC

Practice address

1379 Nostrand Ave # 83
Brooklyn, NY 11226-2596

Phone

(718) 618-7425

Fax

(718) 618-7428

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Balaji Duddukuru

Title

President

Phone

(718) 618-7425

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• GOOD HEALTH PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1598044216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 NOSTRAND AVE # 83",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262596",
            "telephone_number": "718-618-7425",
            "fax_number": "718-618-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 NOSTRAND AVE # 83",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262596",
            "telephone_number": "718-618-7425",
            "fax_number": "718-618-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAISHNAVI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "DUDDUKURU",
        "authorized_official_first_name": "BALAJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-618-7425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5803069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY REGISTRATION",
            "identifier": "030788",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03394772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOOD HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruchel Vais, MS
• Sheindy Vais, SLP
• Chana Vaiselberg
• Robert Vaiselberg, PA
• Sheina Vaisfiche
• Lyudmila Vaisman - Shtaynberger, OTR/L
• Sinthujah Vaithilingham, DMD
• Divya Vaithiswaran, MD
• Michael Vaivao, PA
• Konstantin Vaizman, M.D.

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.