Active NPI
Vraj Healthcare LLC
- Community/Retail Pharmacy
- Lakeland, FL
National Provider Identifier
1649768540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH31373
- Legal business name
- VRAJ HEALTHCARE LLC
- Practice address
- 1228 W Daughtery Rd
Lakeland, FL 33810-3293 - Phone
- (941) 914-5878
- Fax
- (863) 583-7427
- NPI assigned
- Apr 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vishal Doshi
- Title
- Managing Member
- Phone
- (941) 914-5878
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH31373 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1228 W Daughtery Rd
Lakeland, FL 33810-3293
Mailing address
1228 W Daughtery Rd
Lakeland, FL 33810-3293
Phone (941) 914-5878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177462 | Other | PK |
Other names 1
- FamilyCare Discount Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322001524 | FL | Part B Supplier - Pharmacy | 4880001734 | Practice locations: Lakeland, FL |
National Provider Directory
National Provider DirectoryLocations
1228 W Daughtery Rd
Lakeland, FL 33810
Phone (863) 272-6391
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lakeland, FL
- NPI 1023608031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1649768540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 W DAUGHTERY RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103293",
"telephone_number": "941-914-5878",
"fax_number": "863-583-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 W DAUGHTERY RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103293",
"telephone_number": "941-914-5878",
"fax_number": "863-583-7427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VRAJ HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-25",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "DOSHI",
"authorized_official_first_name": "VISHAL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "941-914-5878"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH31373",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2177462",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FamilyCare Discount Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.