Organization Active NPI

VVV RX Inc,

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1811922388
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025366 Issued in NY
Legal business name
VVV RX INC,
Practice address
112 Dekalb Ave
Brooklyn, NY 11201-5429
Phone
(718) 250-0060
Fax
(718) 852-0469
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Venkata KogantiNPI 1225158827
Title
Authorized Official
Phone
(718) 250-0060

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
Community/Retail Pharmacy 3336C0003X 025366 NY Primary

Addresses

Primary practice location

112 Dekalb Ave
Brooklyn, NY 11201-5429

Mailing address

112 Dekalb Ave
Brooklyn, NY 11201-5429
Phone (718) 250-0060

Other identifiers 1

IdentifierTypeStateIssuer
02269670MedicaidNY

Other names 1

  • BROOKLYN CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930085643 NY DME Supplier - Pharmacy 6608089297 Practice locations: Brooklyn, NY
O20220721003357 NY Part B Supplier - Pharmacy 6608089297 Practice locations: Brooklyn, NY
O20250430000035 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6608089297 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Center Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-0060

Practitioners & affiliated clinicians

Practitioners 3

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1811922388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015429",
            "telephone_number": "718-250-0060",
            "fax_number": "718-852-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015429",
            "telephone_number": "718-250-0060",
            "fax_number": "718-852-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVV RX INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "KOGANTI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-250-0060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02269670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKLYN CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.