Provider Demographics
NPI:1730431974
Name:PILLA, VEER R
Entity type:Individual
Prefix:DR
First Name:VEER
Middle Name:R
Last Name:PILLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 QUAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2258
Mailing Address - Country:US
Mailing Address - Phone:732-429-6667
Mailing Address - Fax:
Practice Address - Street 1:249 E 115TH ST
Practice Address - Street 2:SECOND AVENUE PHARMACY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2130
Practice Address - Country:US
Practice Address - Phone:212-876-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist