Organization Active NPI

VPK Shah Meds LLC

  • Community/Retail Pharmacy
  • Prince George, VA
National Provider Identifier
1710475629
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004837 Issued in VA
Legal business name
VPK SHAH MEDS LLC
Doing business as
BENZER PHARMACY
Practice address
4720 Puddledock Rd
Prince George, VA 23875-1275
Phone
(804) 793-8000
Fax
(804) 793-8001
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Vipul Shah
Title
Owner/President/Ao
Phone
(301) 943-6183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201004837 VA Primary

Addresses

Primary practice location

4720 Puddledock Rd
Prince George, VA 23875-1275

Mailing address

4720 Puddledock Rd
Prince George, VA 23875-1275
Phone (804) 793-8000

Other identifiers 1

IdentifierTypeStateIssuer
2177299OtherPK

Other names 1

  • BENZER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4720 Puddledock Rd
Prince George, VA 23875
Phone (804) 452-4546

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": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1710475629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PUDDLEDOCK RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751275",
            "telephone_number": "804-793-8000",
            "fax_number": "804-793-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PUDDLEDOCK RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751275",
            "telephone_number": "804-793-8000",
            "fax_number": "804-793-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPK SHAH MEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/AO",
        "authorized_official_telephone_number": "301-943-6183"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENZER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prince George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.