Organization Active NPI

Vero Pharmacy Inc

  • Community/Retail Pharmacy
  • Vero Beach, FL
National Provider Identifier
1801239272
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30953 Issued in FL
Legal business name
VERO PHARMACY INC
Practice address
1635 14TH Av
Vero Beach, FL 32960
Phone
(772) 562-3660
Fax
(772) 770-4118
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Kazi Imam
Title
Owner
Phone
(772) 562-3660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26784 FL
Community/Retail Pharmacy 3336C0003X PH30953 FL Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1635 14TH Av
Vero Beach, FL 32960

Mailing address

1635 14TH Av
Vero Beach, FL 32960
Phone (772) 562-3660

Other identifiers 1

IdentifierTypeStateIssuer
2140485OtherPK

Other names 1

  • OSCEOLA PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1801239272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 14TH AV",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-562-3660",
            "fax_number": "772-770-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 14TH AV",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-562-3660",
            "fax_number": "772-770-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "KAZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-562-3660"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26784",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30953",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCEOLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSCEOLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.