<Unavail>

LBN: Viva Pharmacy & Wellness
<Unavail> is an health care organization with primary practice located at 8014 Northern Blvd , Jackson Heights NY 11372-1345. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Viva Pharmacy & Wellness can be contacted via phone (718) 450-9595, or through Raghunauth, Latchmin via phone (718) 450-9696.

Contact Information

Primary practice address
8014 Northern Blvd Jackson Heights NY 11372-1345
Phone: (718) 450-9595
Fax: (718) 450-9797
Website:
Map and Directions
Authorized official contact:
Name: Raghunauth, Latchmin DOCTOR OF PHARM
Phone: (718) 450-9696

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 033886 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1659748150
LBN Legal business name Viva Pharmacy & Wellness
DBA Doing business as <Unavail>
Authorized official Raghunauth, Latchmin DOCTOR OF PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2015
Last updated Oct 31st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659748150 NPPES
Other 2154031 PK
MEDICAID 04415101 PK

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