Active NPI
Victory Day Pharmacy LLC
- Community/Retail Pharmacy
- Paulsboro, NJ
National Provider Identifier
1801183595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00713000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3197983 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- VICTORY DAY PHARMACY,LLC
National Provider Directory
National Provider DirectoryLocations
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.