MEDICARE: VAKIL APOTHECARY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1710813704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAKIL APOTHECARY INC

Provider Business Mailing Address
First Line	:	2168 MILLBURN AVE STE 105
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-2670
Country	:	US
Telephone Number	:	973-763-5252
Fax Number	:	973-763-9585

Provider Business Practice Location Address
First Line	:	2168 MILLBURN AVE STE 105
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-2670
Country	:	US
Telephone Number	:	973-763-5252
Fax Number	:	973-763-9585

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	DR. MINA SIDHOM
Credential	:	PHARMD
Telephone Number	:	973-973-5252

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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Directions to “VAKIL APOTHECARY INC ” Practice Location

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