Organization Active NPI

SG Health

Doing business as Viva Pharmacy

  • Pharmacy
  • Trenton, NJ
National Provider Identifier
1790140192
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00747700 Issued in NJ
Legal business name
SG HEALTH
Doing business as
Viva Pharmacy
Practice address
503 S Olden Ave
Trenton, NJ 08629-2102
Phone
(609) 337-7152
Fax
(609) 337-7153
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Sedef GulsanNPI 1073919825
Title
Owner/Pharmacist
Phone
(267) 980-9444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00747700 NJ Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

503 S Olden Ave
Trenton, NJ 08629-2102

Mailing address

503 S Olden Ave
Trenton, NJ 08629-2102
Phone (609) 337-7152

Other identifiers 1

IdentifierTypeStateIssuer
2158779OtherPK

Other names 1

  • VIVA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

503 S Olden Ave
Trenton, NJ 08629
Phone (609) 337-7152

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1790140192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S OLDEN AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086292102",
            "telephone_number": "609-337-7152",
            "fax_number": "609-337-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S OLDEN AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086292102",
            "telephone_number": "609-337-7152",
            "fax_number": "609-337-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "GULSAN",
        "authorized_official_first_name": "SEDEF",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "267-980-9444"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00747700",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.