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VIJAY BANDLA
NPI 1063002483
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Edison, NJ

Active since January 20, 2021
15 FARMHAVEN AVE, EDISON, NJ 08820(973) 819-1484 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vijay Bandla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAY BANDLA (NPI 1063002483) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Edison, New Jersey, licensed in New Jersey (28RI02781000) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1063002483
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameVIJAY BANDLA
Location Address15 FARMHAVEN AVEEdison, NJ 08820-3220
Mailing Address15 Farmhaven AveEdison, NJ 08820-3220 · (973) 819-1484
Phone(973) 819-1484
Sole ProprietorYes
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1063002483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in NJ · 28RI02781000
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
15 FARMHAVEN AVE, Edison, NJ 08820
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijay Bandla's NPI number?

The NPI number for Vijay Bandla is 1063002483. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Vijay Bandla located?

Vijay Bandla practices at 15 Farmhaven Ave, Edison, NJ 08820. The listed phone number is (973) 819-1484.

What is Vijay Bandla's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Vijay Bandla was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.