Organization Active NPI

Vinraj Inc.

  • Community/Retail Pharmacy
  • Holmdel, NJ
National Provider Identifier
1720155005
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00429500 Issued in NJ
Legal business name
VINRAJ INC.
Practice address
969 Holmdel Rd
Holmdel, NJ 07733-2124
Phone
(732) 946-8700
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Vincent Matthew, R.PH
Title
P.I.C
Phone
(732) 946-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00429500 NJ Primary

Addresses

Primary practice location

969 Holmdel Rd
Holmdel, NJ 07733-2124

Mailing address

969 Holmdel Rd
Holmdel, NJ 07733-2124
Phone (732) 946-8700

Other identifiers 1

IdentifierTypeStateIssuer
4407105MedicaidNJ

Other names 1

  • HOLMDEL VILLAGE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

969 Holmdel Rd
Holmdel, NJ 07733
Phone (732) 946-8700

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1720155005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 HOLMDEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332124",
            "telephone_number": "732-946-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 HOLMDEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332124",
            "telephone_number": "732-946-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINRAJ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "P.I.C",
        "authorized_official_telephone_number": "732-946-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00429500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4407105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLMDEL VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.