Vida Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VIDA PHARMACY LLC

Practice address

172 Bushwick Ave
Brooklyn, NY 11206-1604

Phone

(347) 725-4953

Fax

(347) 725-4794

NPI assigned

Aug 6, 2024

Organization subpart

Yes

Parent organization

VIDA PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Salim Faour, PHARM DNPI 1639482151

Title

Owner

Phone

(917) 442-2705

Specialties & licenses 1

Addresses

Tax ID family

Vida Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Vida Pharmacy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vida Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1689012544
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salim Faour, PHARM.D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1639482151
  NPD (past) Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1942030622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061604",
            "telephone_number": "347-725-4953",
            "fax_number": "347-725-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061604",
            "telephone_number": "347-725-4953",
            "fax_number": "347-725-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIDA PHARMACY LLC",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "FAOUR",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-442-2705",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Vision Center LLC
• Errol Christopher Victory
• Jesse Martin Victory, D.O.
• Victoria Vicuna
• Vida Pharmacy LLC
• Yelina Vidal
• Michelle S Vidale, TSLD
• Alexander Vidershayn
• Joseph Nicholas Videtto, OTR/L
• Marianna Vidimsky

• Long Term Care Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.