Active NPI
Vinraj Inc.
- Community/Retail Pharmacy
- Holmdel, NJ
National Provider Identifier
1720155005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00429500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4407105 | Medicaid | NJ |
Other names 1
- HOLMDEL VILLAGE PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.