Organization Active NPI

Vista Pharmacy 26 Inc

Doing business as Vista Pharmacy

  • Community/Retail Pharmacy
  • Great Neck, NY
National Provider Identifier
1154103737
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VISTA PHARMACY 26 INC
Doing business as
Vista Pharmacy
Practice address
593 Middle Neck Rd
Great Neck, NY 11023-1471
Phone
(516) 304-5520
Fax
(516) 304-5521
NPI assigned
Oct 18, 2023
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mrs. Vivian Moore
Title
Manager
Phone
(516) 304-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

593 Middle Neck Rd
Great Neck, NY 11023-1471

Mailing address

593 Middle Neck Road
Great Neck, NY 11023
Phone (516) 304-5520

Other names 1

  • VISTA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

593 Middle Neck Rd
Great Neck, NY 11023
Phone (516) 304-5520

595 Middle Neck Rd
Great Neck, NY 11023

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1154103737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 MIDDLE NECK ROAD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-304-5520",
            "fax_number": "516-304-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231471",
            "telephone_number": "516-304-5520",
            "fax_number": "516-304-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PHARMACY 26 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-304-5520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.