Individual provider Active NPI

Vincent Fevola

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1194242958
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063132 Issued in NY
Practice address
2350 86TH St
Brooklyn, NY 11214-4348
Phone
(718) 372-2144
Fax
(718) 265-6614
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063132 NY Primary

Addresses

Primary practice location

2350 86TH St
Brooklyn, NY 11214-4348

Mailing address

2350 86TH St
Brooklyn, NY 11214-4348
Phone (718) 372-2144

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

State licenses

LicenseStateTypeSpecialty
063132NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
I & B Pharmacy Inc. Past Accepting new patients

Organizations & group practices 1

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1194242958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144348",
            "telephone_number": "718-372-2144",
            "fax_number": "718-265-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144348",
            "telephone_number": "718-372-2144",
            "fax_number": "718-265-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEVOLA",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.