Active NPI
VLV Orange Pharmacy Inc
- Community/Retail Pharmacy
- Orange, NJ
National Provider Identifier
1922064567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5541
- Legal business name
- VLV ORANGE PHARMACY INC
- Doing business as
- E&M PHARMACY
- Practice address
- 205 S Essex Ave
Orange, NJ 07050 - Phone
- (973) 677-2800
- Fax
- (973) 674-8864
- NPI assigned
- Apr 22, 2006
- 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
- Mrs. Naila Ahmed, PHARMACIST
- Title
- President
- Phone
- (973) 677-2800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | RI5541 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | 5541 | NJ | Primary |
Addresses
Primary practice location
205 S Essex Ave
Orange, NJ 07050
Mailing address
205 S Essex Ave
Orange, NJ 07050-3401
Phone (973) 677-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7494408 | Medicaid | NJ | |
| 7494416 | Medicaid | NJ |
Other names 1
- E&M 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 |
|---|---|---|---|---|
| O20100930078927 | NJ | DME Supplier - Pharmacy | 7315068871 | Practice locations: Orange, NJ |
| O20110502000531 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315068871 | Practice locations: Orange, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Em Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Orange, NJ
- NPI 1720466089
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elmont, NY
- NPI 1548813363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1922064567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S ESSEX AVE",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070503401",
"telephone_number": "973-677-2800",
"fax_number": "973-674-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S ESSEX AVE",
"city": "ORANGE",
"state": "NJ",
"postal_code": "07050",
"telephone_number": "973-677-2800",
"fax_number": "973-674-8864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VLV ORANGE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-22",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "NAILA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-677-2800",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "RI5541",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "5541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7494408",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7494416",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "E&M PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "E&M PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.