Village Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031690 Issued in NY

Legal business name

VILLAGE PHARMACY CORP

Practice address

407 Bleecker St
New York, NY 10014-2157

Phone

(212) 807-7566

Fax

(212) 924-6221

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Desai, PHARMDNPI 1376865048

Title

President

Phone

(212) 807-7566

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VILLAGE APOTHECARY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 10

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

• Vijay Desai, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1376865048
  NPD Authorized official
• Bhavin D. Antala, PHARM D

  • Pharmacist
  • New York, NY
  • NPI 1124458484
  NPD (past)
• John Kaliabakos, RPH

  • Pharmacist
  • New York, NY
  • NPI 1609108091
  NPD (past)
• Raymond Frank Lazzara, RPH

  • Pharmacist
  • New York, NY
  • NPI 1548592959
  NPD (past)
• George John Manos, RPH

  • Pharmacist
  • New York, NY
  • NPI 1306072137
  NPD (past)
• Jean Marie Maroulis, PHARM D

  • Pharmacist
  • New York, NY
  • NPI 1427614064
  NPD (past)
• Ixita Patel, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1619645595
  NPD (past)
• Mital Patel, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1467742643
  NPD (past)
• Shaili Patel

  • Pharmacist
  • New York, NY
  • NPI 1215474234
  NPD (past)
• Norman Scott Saban, RPH

  • Pharmacist
  • New York, NY
  • NPI 1831421247
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1992747778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BLEECKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142157",
            "telephone_number": "212-807-7566",
            "fax_number": "212-924-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BLEECKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142157",
            "telephone_number": "212-807-7566",
            "fax_number": "212-924-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-807-7566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03524229",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3375587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Village Maternity Physicians, PLLC
• Village Obstetrics, LLC
• Village Ophthalmology PC
• Village Optical, Corp
• Village Park Medical, PC
• Village Primary Care LLP
• Village Psychology PLLC
• Village Psychotherapy LCSW LLC
• Village Senior Services Corporation
• Villagetms LLC

• 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 Apr 23, 2024; 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.