Organization
VINELAND PHARMA LLC
Active
Other names
vineland pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI (MEMBER/OWNER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
315 W LANDIS AVE, VINELAND, NJ 08360-8104
(856) 457-5171
Mailing address
315 W LANDIS AVE, VINELAND, NJ 08360-8104
(856) 457-5171
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00715300
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3198214
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/17/2011
Last updated
06/07/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up