Active NPI
Vero Pharmacy Inc
- Community/Retail Pharmacy
- Vero Beach, FL
National Provider Identifier
1801239272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH30953
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140485 | Other | PK |
Other names 1
- OSCEOLA PHARMACY
National Provider Directory
National Provider DirectoryNPI 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.