NPIMap

Organization Active NPI

Vakratunda Inc.

  • Specialty Pharmacy
  • Newark, NJ
National Provider Identifier
1740609338
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
28RS00639700 Issued in NJ
Legal business name
VAKRATUNDA INC.
Practice address
194 Clinton Ave
Newark, NJ 07108-2809
Phone
(973) 273-1100
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Rasik Nagrecha
Title
Pres
Phone
(973) 992-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 28RS00639700 NJ Primary

Addresses

Primary practice location

194 Clinton Ave
Newark, NJ 07108-2809

Mailing address

23 Canoe Brook Dr
Livingston, NJ 07039-6121
Phone (973) 273-1100

Other identifiers 2

IdentifierTypeStateIssuer
0039039MedicaidNJ
2145143OtherPK

Other names 1

  • Bergen Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vakratunda Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1740609338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANOE BROOK DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070396121",
            "telephone_number": "973-273-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLINTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082809",
            "telephone_number": "973-273-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAKRATUNDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "NAGRECHA",
        "authorized_official_first_name": "RASIK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "973-992-1951"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00639700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039039",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.