Organization Active NPI

Vel Primus RX LLC

  • Long Term Care Pharmacy
  • Modesto, CA
National Provider Identifier
1770266751
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VEL PRIMUS RX LLC
Doing business as
PILLBOXMODESTO
Practice address
4230 Kiernan Ave Ste 220
Modesto, CA 95356-9323
Phone
(209) 567-2017
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Eugene AwuahNPI 1457636946
Title
Owner
Phone
(209) 567-2017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4230 Kiernan Ave Ste 220
Modesto, CA 95356-9323

Mailing address

4230 Kiernan Ave Ste 220
Modesto, CA 95356-9323
Phone (209) 567-2017

Other names 1

  • PILLBOXMODESTO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604000625 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0446792675 Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

4230 Kiernan Ave
Ste 220
Modesto, CA 95356
Phone (209) 567-2017

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": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1770266751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 KIERNAN AVE STE 220",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569323",
            "telephone_number": "209-567-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 KIERNAN AVE STE 220",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569323",
            "telephone_number": "209-567-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEL PRIMUS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "AWUAH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-567-2017"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILLBOXMODESTO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.