Provider Demographics
NPI:1235384249
Name:VBS RX LLC
Entity type:Organization
Organization Name:VBS RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:KARUNAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUPATHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-471-9100
Mailing Address - Street 1:877 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-2001
Mailing Address - Country:US
Mailing Address - Phone:732-471-9100
Mailing Address - Fax:732-471-9120
Practice Address - Street 1:877 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-2001
Practice Address - Country:US
Practice Address - Phone:732-471-9100
Practice Address - Fax:732-471-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS006868003336C0003X, 3336C0003X
333600000X, 3336C0004X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2118595OtherPK
NJ0192554Medicaid
NJ6218720001Medicare NSC