Organization Active NPI

Victory Day Pharmacy LLC

  • Community/Retail Pharmacy
  • Paulsboro, NJ
National Provider Identifier
1801183595
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00713000 Issued in NJ
Legal business name
VICTORY DAY PHARMACY LLC
Doing business as
Victory Day Pharmacy,LLC
Practice address
43 E Broad St
Paulsboro, NJ 08066-1451
Phone
(856) 224-9800
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Adaku Ajoku
Title
Pharmacist in Charge
Phone
(267) 918-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00713000 NJ Primary

Addresses

Primary practice location

43 E Broad St
Paulsboro, NJ 08066-1451

Mailing address

43 E Broad St
Paulsboro, NJ 08066-1451
Phone (856) 224-9800

Other identifiers 1

IdentifierTypeStateIssuer
3197983OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • VICTORY DAY PHARMACY,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

43 E Broad St
Paulsboro, NJ 08066
Phone (856) 224-9800

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1801183595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E BROAD ST",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661451",
            "telephone_number": "856-224-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E BROAD ST",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661451",
            "telephone_number": "856-224-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY DAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "AJOKU",
        "authorized_official_first_name": "ADAKU",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "267-918-9950"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00713000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3197983",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY DAY PHARMACY,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paulsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.