Vencer Care Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28RS00733200 Issued in NJ

Legal business name

VENCER CARE PHARMACY LLC

Practice address

570 N Broad St
Suite-L
Elizabeth, NJ 07208-3314

Phone

(908) 469-2221

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Peter Shah

Title

Auth Member

Phone

(908) 469-2221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1649682071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N BROAD ST",
            "address_2": "SUITE-L",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N BROAD ST",
            "address_2": "SUITE-L",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083314",
            "telephone_number": "908-469-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENCER CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTH MEMBER",
        "authorized_official_telephone_number": "908-469-2221"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00733200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Emilio Vasquez Duran, MD
• Teimouraz Vassilidze, M.D.
• Yeimi Vazquez, MS
• Jessica Velasquez-Julca
• Velixo DME
• Lourdes Veras, LSW
• Joseph Marc Verret, MD
• Edly Victorin, M.A., CCC-SLP
• Vida Sarkodie
• Tatiane Moura Vieira, FNP

• Long Term Care Pharmacy in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.