Vanam Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VANAM PHARMACY INC

Doing business as

vanam pharmacy

Practice address

2804 Frederick Douglass Blvd
New York, NY 10039-2102

Phone

(212) 871-3004

Fax

(212) 871-2930

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Kanigiri Gade

Title

Owner

Phone

(212) 871-3004

Specialties & licenses 1

Addresses

Other names 1

• vanam pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1982428009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100392102",
            "telephone_number": "212-871-3004",
            "fax_number": "212-871-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100392102",
            "telephone_number": "212-871-3004",
            "fax_number": "212-871-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "GADE",
        "authorized_official_first_name": "KANIGIRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-871-3004"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vanam pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minh-Tom Van, DDS
• Vanaa Tech LLC
• Jade Vanacore, PA-C
• Equarm Vanager, LMHC
• Jill Marie Vanak, ACNP-BC
• Janet J Vanatko, L.C.S.W.
• Amanda Julie Vanbrunt, M.S. SLP
• Carolyn Vanbuskirk, D.D.S.
• Treva Collette Vancleave, PHD
• Ryan Vancompernolle, LMSW

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.