VITALIS DRUGS LLC (NPI# 1851725964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851725964 |
| Entity Type | Organization |
| Organization Name | VITALIS DRUGS LLC |
| Other Organization Name | VITALIS PHARMACY |
| Practice Address |
3495 John F Kennedy Blvd Jersey City NJ 07307-4119 |
| Mailing Address |
3495 Kennedy Blvd Jersey City NJ 07307-4119 |
| Practice Telephone | 2012221800 |
| Practice Fax Number | 2012221811 |
| Mailing Telephone | 2012221800 |
| Mailing Fax Number | 2012221811 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ASHRAF ASHAMALLA (CO-OWNER/MANAGER) |
| Authorized Official Telephone | 2012221800 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00726700 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2141572 | 01 | |
| NJ | 0605590 | 05 |
| Other Name | Type Code |
|---|---|
| Vitalis Pharmacy | Doing Business As Name - Organization |
| Street Address |
3495 JOHN F KENNEDY BLVD |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251833 | Karim Sultan | Pharmacist | 3495 John F Kennedy Blvd, Jersey City, NJ 07307-4119 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1003461922 | The Square Pharmacy LLC | Pharmacy | 30 Journal Square Plz, Jersey City, NJ 07306-3847 | 2019-08-07 |
| 1982109880 | Differx Pharmacy LLC | Pharmacy | 492 Central Ave, Jersey City, NJ 07307-2646 | 2018-03-24 |
| 1356855480 | Greenville Pharmacy LLC | Pharmacy | 1850 John F Kennedy Blvd, Jersey City, NJ 07305-2122 | 2017-11-28 |
| 1649688524 | Perfect Care Pharmacy | Pharmacy | 1727 John F Kennedy Blvd, Jersey City, NJ 07305-1920 | 2014-07-24 |
| 1770920704 | Mcginley Pharmacy, Inc. | Pharmacy | 683 Montgomery St, Jersey City, NJ 07306-3323 | 2013-05-31 |
| 1316256290 | Good Time Pharmacy LLC | Pharmacy | 2801 Kennedy Blvd, Ste 10, Jersey City, NJ 07306 | 2010-09-27 |
| 1770617037 | Aha Pharmaceutical Corporation | Pharmacy | 2980 Kennedy Blvd., Jersey City, NJ 07306 | 2007-03-16 |
| 1356497770 | Summit Pharmacy Group LLC | Pharmacy | 103 Summit Ave, Jersey City, NJ 07304-3021 | 2007-01-26 |
| 1447315700 | Normans Pharmacy Inc | Pharmacy | 501 Jersey Ave, Jersey City, NJ 07302-3457 | 2006-12-27 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.