Healthcare Provider Details

I. General information

NPI: 1689761884
Provider Name (Legal Business Name): VIM CHEMIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

766 W 181ST ST
NEW YORK NY
10033-4728
US

IV. Provider business mailing address

766 W 181ST ST
NEW YORK NY
10033-4728
US

V. Phone/Fax

Practice location:
  • Phone: 212-795-4383
  • Fax: 212-928-1135
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number025533
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY KESSEL
Title or Position: PRES
Credential:
Phone: 212-795-4383