NPIMap

Organization Active NPI

Viva Pharmacy & Wellness

  • Community/Retail Pharmacy
  • Jackson Heights, NY
National Provider Identifier
1659748150
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033886 Issued in NY
Legal business name
VIVA PHARMACY & WELLNESS
Practice address
8014 Northern Blvd
Jackson Heights, NY 11372-1345
Phone
(718) 450-9595
Fax
(718) 450-9797
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Latchmin Raghunauth, DOCTOR OF PHARMNPI 1700215068
Title
Pic, Ao
Phone
(718) 450-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 033886 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

8014 Northern Blvd
Jackson Heights, NY 11372-1345

Mailing address

8014 Northern Blvd
Jackson Heights, NY 11372-1345
Phone (718) 450-9595

Other identifiers 2

IdentifierTypeStateIssuer
2154031OtherPK
04415101MedicaidNY

Other names 1

  • Viva Pharmacy & Wellness, L.L.C. Former legal business name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1659748150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721345",
            "telephone_number": "718-450-9595",
            "fax_number": "718-450-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721345",
            "telephone_number": "718-450-9595",
            "fax_number": "718-450-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA PHARMACY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "RAGHUNAUTH",
        "authorized_official_first_name": "LATCHMIN",
        "authorized_official_title_or_position": "PIC, AO",
        "authorized_official_telephone_number": "718-450-9696",
        "authorized_official_credential": "DOCTOR OF PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033886",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04415101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viva Pharmacy & Wellness, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.