Organization Active NPI

VJK Corp

Doing business as Diamond Pharmacy

  • Community/Retail Pharmacy
  • Kalamazoo, MI
National Provider Identifier
1720380140
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009448 Issued in MI
Legal business name
VJK CORP
Doing business as
Diamond Pharmacy
Practice address
119 E Paterson St
Kalamazoo, MI 49007-2530
Phone
(269) 226-9000
Fax
(269) 226-9033
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Vijay Raval
Title
President
Phone
(269) 226-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009448 MI Primary

Addresses

Primary practice location

119 E Paterson St
Kalamazoo, MI 49007-2530

Mailing address

119 E Paterson St
Kalamazoo, MI 49007-2530
Phone (269) 226-9000

Other identifiers 1

IdentifierTypeStateIssuer
2374724OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Diamond Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

119 E Paterson St
Kalamazoo, MI 49007
Phone (269) 226-9000

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1720380140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490072530",
            "telephone_number": "269-226-9000",
            "fax_number": "269-226-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490072530",
            "telephone_number": "269-226-9000",
            "fax_number": "269-226-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VJK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-226-9000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.