Organization Active NPI

Veemed LLC

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1659429314
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00694800 Issued in NJ
Legal business name
VEEMED LLC
Practice address
673 Broad St
Newark, NJ 07102-4410
Phone
(973) 642-6298
Fax
(973) 622-4448
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Venkata Kodali
Title
Pharmacist in-Charge/Owner
Phone
(973) 642-6298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00694800 NJ Primary

Addresses

Primary practice location

673 Broad St
Newark, NJ 07102-4410

Mailing address

673 Broad St
Newark, NJ 07102-4410
Phone (973) 642-6298

Other identifiers 2

IdentifierTypeStateIssuer
3126819OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0219991MedicaidNJ

Other names 1

  • Newark Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

673 Broad St
Newark, NJ 07102
Phone (973) 642-6298

Practitioners & affiliated clinicians

Practitioners 1

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1659429314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024410",
            "telephone_number": "973-642-6298",
            "fax_number": "973-622-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024410",
            "telephone_number": "973-642-6298",
            "fax_number": "973-622-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEEMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "KODALI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE/OWNER",
        "authorized_official_telephone_number": "973-642-6298"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00694800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3126819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219991",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Drugs",
            "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 Jul 26, 2010; 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.