Active NPI
Vitalis Drugs LLC
- Community/Retail Pharmacy
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00726700
- Legal business name
- VITALIS DRUGS LLC
- Practice address
- 3495 John F Kennedy Blvd
Jersey City, NJ 07307-4119 - Phone
- (201) 222-1800
- Fax
- (201) 222-1811
- NPI assigned
- Aug 26, 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
- Remon Endrawes, RPH
- Title
- Pharmacist in Charge
- Phone
- (201) 222-1800
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00726700 | NJ | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3495 John F Kennedy Blvd
Jersey City, NJ 07307-4119
Mailing address
3495 John F Kennedy Blvd
Jersey City, NJ 07307-4119
Phone (201) 222-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0605590 | Medicaid | NJ | |
| 2141572 | Other | PK |
Other names 1
- Vitalis Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180604002818 | NJ | DME Supplier - Pharmacy | 0345505822 | Practice locations: Jersey City, NJ |
| O20190802000423 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345505822 | Practice locations: Jersey City, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vitalis Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-She… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3495 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 222-1800
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jersey City, NJ
- NPI 1912324187
-
- Pharmacist
- Jersey City, NJ
- NPI 1669172557
-
- Pharmacist
- Jersey City, NJ
- NPI 1164152914
-
- Pharmacist
- Jersey City, NJ
- NPI 1386251833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1851725964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 JOHN F KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073074119",
"telephone_number": "201-222-1800",
"fax_number": "201-222-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 JOHN F KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073074119",
"telephone_number": "201-222-1800",
"fax_number": "201-222-1811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALIS DRUGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-26",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "ENDRAWES",
"authorized_official_first_name": "REMON",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "201-222-1800",
"authorized_official_credential": "RPH"
},
"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": "28RS00726700",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0605590",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141572",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vitalis Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.