Healthcare Provider Details

I. General information

NPI: 1871820373
Provider Name (Legal Business Name): VRAJ PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 HWY 33
NEPTUNE CITY NJ
07753-6103
US

IV. Provider business mailing address

2040 HWY 33
NEPTUNE CITY NJ
07753-6103
US

V. Phone/Fax

Practice location:
  • Phone: 732-455-8102
  • Fax: 732-455-8104
Mailing address:
  • Phone: 732-455-8102
  • Fax: 732-455-8104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00698400
License Number StateNJ

VIII. Authorized Official

Name: MR. JAYESH LALIWALA
Title or Position: PRESIDENT
Credential:
Phone: 732-841-9184