Organization Active NPI

Vaidyam Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1942449079
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029298 Issued in NY
Legal business name
VAIDYAM INC
Practice address
4283 Main St
Flushing, NY 11355-4721
Phone
(718) 353-1350
Fax
(718) 353-1981
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Nancy ZachariasNPI 1922247055
Title
President
Phone
(516) 673-1271

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029298 NY Primary

Addresses

Primary practice location

4283 Main St
Flushing, NY 11355-4721

Mailing address

4283 Main St
Flushing, NY 11355-4721
Phone (718) 353-1350

Other identifiers 2

IdentifierTypeStateIssuer
2119134OtherPK
3081629MedicaidNY

Other names 1

  • Well Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930073490 NY DME Supplier - Pharmacy 2567660764 Practice locations: Flushing, NY
O20220413001445 NY Part B Supplier - Pharmacy 2567660764 Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Vaidyam Inc4283 Main St, Flushing, NY 11355-4721(718) 353-1350 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Surgical Dressings Does not accept assignmentParticipating since Apr 30, 2009

National Provider Directory

National Provider Directory

Locations

4283 Main St
Flushing, NY 11355
Phone (718) 353-1350

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": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1942449079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554721",
            "telephone_number": "718-353-1350",
            "fax_number": "718-353-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554721",
            "telephone_number": "718-353-1350",
            "fax_number": "718-353-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIDYAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-673-1271"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.

Verify at the official NPI Registry.