Vine RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VINE RX, LLC

Practice address

927 Manor Rd
Staten Island, NY 10314-7007

Phone

(347) 407-7444

Fax

(347) 407-7445

NPI assigned

Oct 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mina Soliman, PHARMDNPI 1649824020

Title

Owner/Pharmacist

Phone

(347) 864-4173

Specialties & licenses 1

Addresses

Other names 1

• Vine Rx Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mina N Soliman, PHARMD

  • Pharmacy
  • Staten Island, NY
  • NPI 1649824020
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1033939442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147007",
            "telephone_number": "347-407-7444",
            "fax_number": "347-407-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147007",
            "telephone_number": "347-407-7444",
            "fax_number": "347-407-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "347-864-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vine Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunithi Krishnan Vinay, M.D
• Mikerlon Vincent, RN
• Tammy J Vinciguerra, OTR/L
• Alyssa Vindigni, M.S., CF-SLP, TSSLD
• Vine Gate Inc.
• Nataliya Vinokur, M.S/B.S IN OT
• Jessica Lynn Viola, L.AC.
• Alessandra Violetta, LMHC
• Vip Home Health Care LLC
• Simona Vira

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.