Vanjon's Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VANJON'S PHARMACY, LLC

Doing business as

Vanjon's Pharmacy (LTC)

Practice address

320 E Fifteenth St
Yazoo City, MS 39194-2600

Phone

(662) 746-3562

Fax

(662) 746-3568

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Edwards

Title

Owner

Phone

(662) 746-3562

Specialties & licenses 1

Addresses

Other names 1

• VANJON'S PHARMACY (LTC) Doing business as

Tax ID family

Vanjon's Pharmacy LTC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vanjon's Pharmacy, LLC

  • Community/Retail Pharmacy
  • Yazoo City, MS
  • NPI 1306468061
  NPD tax ID

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1619723798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FIFTEENTH ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942600",
            "telephone_number": "662-746-3562",
            "fax_number": "662-746-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FIFTEENTH ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942600",
            "telephone_number": "662-746-3562",
            "fax_number": "662-746-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANJON'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-746-3562"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANJON'S PHARMACY (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J Trammell, PT
• Ericka Travis
• Cynthia Tyner
• Katherine Usellis, NP
• Vanjon's Pharmacy, LLC
• Vibha Vig MD PA (Sunshine Medical Clinic)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3060)
• Walgreen Co (Walgreens #18996)
• Ora Wallace
• Verkendra Washington Shunae Washington, PCCSS

• Long Term Care Pharmacy in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Long Term Care Pharmacy in Mississippi

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