Active NPI
Czeriesa Bondoc Vitug, PHARM D.
- Pharmacist
- New York, NY
National Provider Identifier
1134306145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051979
- Practice address
- 1052 1St Ave
New York, NY 10022-2904 - Phone
- (646) 282-0530
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051979 | NY | Primary |
Addresses
Primary practice location
1052 1St Ave
New York, NY 10022-2904
Mailing address
191 Willoughby St
7D
Brooklyn, NY 11201-5464
Phone (347) 453-5337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051979 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1134306145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 WILLOUGHBY ST",
"address_2": "7D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015464",
"telephone_number": "347-453-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222904",
"telephone_number": "646-282-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITUG",
"first_name": "CZERIESA",
"middle_name": "BONDOC",
"name_prefix": "Ms.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.