VLV Med Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

018488 Issued in NY

Legal business name

VLV MED PHARMACY INC

Practice address

4085 Broadway
New York, NY 10032-1532

Phone

(212) 923-7530

Fax

(212) 923-7550

NPI assigned

Jul 12, 2006

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ramadevi VC Jonnalagadda

Title

President

Phone

(212) 923-7530

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pandurangarao Jonnalagadda, RPH

  • Pharmacist
  • New York, NY
  • NPI 1265755003
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1932134509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321532",
            "telephone_number": "212-923-7530",
            "fax_number": "212-923-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321532",
            "telephone_number": "212-923-7530",
            "fax_number": "212-923-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLV MED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "RAMADEVI",
        "authorized_official_middle_name": "VC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-923-7530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00876944",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3382417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Vlassara, MD
• Rielly Vlassis, RN
• Alexandra Sergeyevna Vlassova-Kudrevatykh
• Joseph Nicholas Vlastos, MD
• Maria Victoria Vlock, D.D.S
• VM Psychological Services, Inc
• VN Medical Supply Inc
• Zoe Vnak, LMSW
• VNS
• VNS Choice (VNS CHOICE Plus)

• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.