Viniultrarx

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VINIULTRARX

Practice address

12619A Wisteria Dr Ste a
Germantown, MD 20874-5390

Phone

(301) 569-6464

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Vini Patel

Title

Member

Phone

(301) 569-6464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1689363939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619A WISTERIA DR STE A",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745390",
            "telephone_number": "301-569-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619A WISTERIA DR STE A",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745390",
            "telephone_number": "301-569-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINIULTRARX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VINI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-569-6464"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vesta, Inc.
• James A Vette, DDS
• Keri Victorio
• Subalaxmi Valli Vinayakom, MD
• Viniultrarx
• Vinu Ganti M.D., P.C.
• Sherri Vishner, LGSW
• Vitelli Comprehensive Dentistry LLC
• Adam Paul Vitelli, DMD
• Tracie Lynn Vock, PA-C

• Community/Retail Pharmacy in Germantown, MD
• Providers in Germantown, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.