Active NPI
V-Pharm Inc
- Long Term Care Pharmacy
- Wilkes Barre, PA
National Provider Identifier
1255443263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP415509L
- Legal business name
- V-PHARM INC
- Practice address
- 485 S River St
Wilkes Barre, PA 18702-3706 - Phone
- (570) 970-2200
- Fax
- (570) 970-2205
- 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
- William Vinsko
- Title
- Owner
- Phone
- (570) 970-9700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | PP415509L | PA | Primary |
Addresses
Primary practice location
485 S River St
Wilkes Barre, PA 18702-3706
Mailing address
PO Box 659
Wilkes Barre, PA 18703-0659
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084417 | Other | PK | |
| 1255443263 | Medicaid | DE | |
| 100758647 | Medicaid | PA |
Other names 1
- KEYSTONE PROFESSIONAL PHARMACY
National Provider Directory
National Provider DirectoryLocations
485 S River St
Wilkes Barre, PA 18702
Phone (570) 970-2200
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": "1459296000000",
"number": "1255443263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 659",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187030659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187023706",
"telephone_number": "570-970-2200",
"fax_number": "570-970-2205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "V-PHARM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2016-03-30",
"status": "A",
"authorized_official_last_name": "VINSKO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-970-9700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "PA",
"license": "PP415509L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2084417",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255443263",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100758647",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KEYSTONE PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.