Organization Active NPI

VLV Orange Pharmacy Inc

  • Community/Retail Pharmacy
  • Orange, NJ
National Provider Identifier
1922064567
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5541 Issued in NJ
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

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mrs. Naila Ahmed, PHARMACISTNPI 1548813363
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7494408MedicaidNJ
7494416MedicaidNJ

Other names 1

  • E&M PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.