Organization Active NPI

VLV Orange Pharmacy Inc

  • Long Term Care Pharmacy
  • Orange, NJ
National Provider Identifier
1720466089
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VLV ORANGE PHARMACY INC
Doing business as
E&M Pharmacy
Practice address
205 S Essex Ave
Orange, NJ 07050
Phone
(973) 677-2800
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Mr. Prakash Maddali
Title
RPH
Phone
(973) 677-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary
Specialty Pharmacy 3336S0011X 28RS00554100 NJ

Addresses

Primary practice location

205 S Essex Ave
Orange, NJ 07050

Mailing address

205 S Essex Ave
Orange, NJ 07050-3401
Phone (973) 677-2800

Other names 1

  • E&M Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Em Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1720466089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S ESSEX AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503401",
            "telephone_number": "973-677-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S ESSEX AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-677-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLV ORANGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "973-677-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00554100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E&M Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "E&M Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.