VB Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00699600 Issued in NJ

Legal business name

VB PHARMACY INC

Practice address

7126 Bergenline Ave
North Bergen, NJ 07047-5415

Phone

(201) 868-6900

Fax

(201) 868-7127

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Prakash Maddali

Title

President

Phone

(973) 441-8470

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• North Bergen Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1992713283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475415",
            "telephone_number": "201-868-6900",
            "fax_number": "201-868-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7126 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475415",
            "telephone_number": "201-868-6900",
            "fax_number": "201-868-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-441-8470"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00699600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4361709",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bergen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yajaira A Vasco, LCSW
• Leanna Vastoler, PA-C
• Luis Enrique Vazquez Falcon, MD
• Pablo Vazquez, M.D.
• Sheanny Vazquez
• Elyse Vena, MS CCC SLP
• Verbal Vision Co Corp
• Vericare Behavioral Health of New Jersey
• Anjeza Victory, D.O.
• Jessy Vikani, RPH

• Community/Retail Pharmacy in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.