Organization Active NPI

V-Pharm Inc

  • Long Term Care Pharmacy
  • Wilkes Barre, PA
National Provider Identifier
1255443263
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP415509L Issued in PA
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

Updated by the provider on Mar 30, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2084417OtherPK
1255443263MedicaidDE
100758647MedicaidPA

Other names 1

  • KEYSTONE PROFESSIONAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.