Vedic Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11305 Issued in NC

Legal business name

VEDIC PHARMACY LLC

Doing business as

Holly Park Pharmacy

Practice address

1620 Martin Luther King Jr Blvd Ste 104
Raleigh, NC 27610-3479

Phone

(919) 865-9993

Fax

(919) 865-9998

NPI assigned

Feb 26, 2010

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vipul Patel

Title

Manager

Phone

(919) 865-9993

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Holly Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vedic Pharmacy LLC

  dba Gurleys Pharmacy

  • Community/Retail Pharmacy
  • Durham, NC
  • NPI 1346566080

  O20151123002489

  Same enrollment

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1700108115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097844",
            "telephone_number": "919-865-9993",
            "fax_number": "919-865-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MARTIN LUTHER KING JR BLVD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103479",
            "telephone_number": "919-865-9993",
            "fax_number": "919-865-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDIC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-865-9993"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11305",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holly Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Miguel Vazquez-Montesino, MD
• Eliezer Vazquez, LCSW
• Joshua Manuel Vazquez
• Melissa Vazquez, PA(ASCP)
• Madison Veasey, LPCA, LCAS, NCC
• Vedic Pharmacy LLC (Holly Park Pharmacy LTC)
• Jean Marie Veedock, LPCA
• Edgardo Jose Vega, CRNA
• Emily Carol Vega
• Henry Vega, MD

• Community/Retail Pharmacy in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.