Virisaar Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00640000 Issued in NJ

Legal business name

VIRISAAR PHARMACY INC

Doing business as

Wood Lane Pharmacy
Woodlane Pharmacy

Practice address

18 Throckmorton LN
Old Bridge, NJ 08857-2570

Phone

(732) 679-6000

Fax

(732) 679-6004

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Kiran Tavva

Title

Vice-President

Phone

(732) 679-6000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• WOOD LANE PHARMACY Doing business as
• WOODLANE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rao G Desu, R.PH

  • Pharmacist
  • Perth Amboy, NJ
  • NPI 1477606861
  NPD
• Ravi Surasani

  • Pharmacist
  • Old Bridge, NJ
  • NPI 1508995978
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1831278506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572570",
            "telephone_number": "732-679-6000",
            "fax_number": "732-679-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572570",
            "telephone_number": "732-679-6000",
            "fax_number": "732-679-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRISAAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "TAVVA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "732-679-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00640000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3128407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060763",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOOD LANE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODLANE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Vargas
• Vascular and Interventional Specialists, PC
• Scott Carmine Ventre, DO
• Nancy Villa, DMD
• Village Super Market of NJ LP (ShopRite Pharmacy of Old Bridge)
• Vision Riverside Assisted Living LLC
• Vision Riverside Assisted Living LLC
• Anthony Joseph Vitale, DMD
• Steffani Viveros, OD
• Charlene Louise Vojnyk, APN, RN

• Community/Retail Pharmacy in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.