Vincents Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020418 Issued in NY

Legal business name

VINCENTS PHARMACY INC

Practice address

3272 Franklin Ave
Millbrook, NY 12545-5975

Phone

(845) 677-3223

Fax

(914) 677-3225

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Michael GiordanoNPI 1407178346

Title

Pharmacist

Phone

(845) 677-3223

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VINCENTS PHARMACY INC Doing business as

Practitioners 1

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

• Michael V Giordano, RPH

  • Pharmacist
  • Millbrook, NY
  • NPI 1407178346
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1114095940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125450557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 FRANKLIN AVE",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455975",
            "telephone_number": "845-677-3223",
            "fax_number": "914-677-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "845-677-3223"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972541",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3388445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VINCENTS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Turner, PT, DPT
• Roberto Valoy Jr.
• Charles Scott Vandebogart Jr., ATC
• Melinda Vazquez, LMSW
• Vernon Peryea,Optometrist LLC
• William S. Bremiller
• Donna B Yerry, R.N.
• Kandice Margaret Zakarian, ATC
• Anne Cecelia Zukowski, LPN

• All providers in Millbrook, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.