Organization Active NPI

Vijayasree LLC

Doing business as Stefko Pharmacy

  • Long Term Care Pharmacy
  • Bethlehem, PA
National Provider Identifier
1851110027
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VIJAYASREE LLC
Doing business as
Stefko Pharmacy
Practice address
1816 Stefko Blvd Ste a
Bethlehem, PA 18017-6235
Phone
(610) 419-4198
Fax
(610) 419-4252
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Venugopal Ghanta VenkataNPI 1174951784
Title
Pharmacist in-Charge
Phone
(610) 419-4198

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1816 Stefko Blvd Ste a
Bethlehem, PA 18017-6235

Mailing address

1816 Stefko Blvd Ste a
Bethlehem, PA 18017-6235
Phone (610) 419-4198

Other names 1

  • STEFKO PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1816 Stefko Blvd
#A
Bethlehem, PA 18017
Phone (610) 419-4198

Practitioners & affiliated clinicians

Practitioners 2

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": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1851110027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 STEFKO BLVD STE A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180176235",
            "telephone_number": "610-419-4198",
            "fax_number": "610-419-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 STEFKO BLVD STE A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180176235",
            "telephone_number": "610-419-4198",
            "fax_number": "610-419-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYASREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "GHANTA VENKATA",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE",
        "authorized_official_telephone_number": "610-419-4198"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEFKO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.