Active NPI
Vermilya's Pharmacies Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Washington, PA
National Provider Identifier
1235241241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VERMILYA'S PHARMACIES INC
- Doing business as
- Medicine Shoppe
- Practice address
- 400 Jefferson Ave
Washington, PA 15301-4261 - Phone
- (724) 222-0900
- Fax
- (724) 222-3429
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dena Ferman
- Title
- Third Party Plan Coordinator
- Phone
- (314) 993-6000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP410749L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
400 Jefferson Ave
Washington, PA 15301-4261
Mailing address
400 Jefferson Ave
Washington, PA 15301-4261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3937096 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0018163400001 | Medicaid | PA |
Other names 1
- MEDICINE SHOPPE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220204001926 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224240130 | Practice locations: Washington, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Washington, PA
- NPI 1447687108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1235241241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 JEFFERSON AVE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153014261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 JEFFERSON AVE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153014261",
"telephone_number": "724-222-0900",
"fax_number": "724-222-3429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERMILYA'S PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "FERMAN",
"authorized_official_first_name": "DENA",
"authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
"authorized_official_telephone_number": "314-993-6000"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP410749L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3937096",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018163400001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.