Vernak Farms Country Store

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

030357 Issued in NY

Legal business name

VERNAK FARMS COUNTRY STORE

Doing business as

Vernak Farms Country Store

Practice address

1889 E Lake Rd
Skaneateles, NY 13152-8964

Phone

(315) 673-9327

Fax

(315) 673-9896

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Charlene VernakNPI 1518297969

Title

RPH/Partner/Owner

Phone

(315) 430-5486

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Vernak Farms Country Store Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Mary Vernak, RPH

  • Pharmacist
  • Skaneateles, NY
  • NPI 1518297969
  NPD (past) Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1275847089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 E LAKE RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131528964",
            "telephone_number": "315-673-9327",
            "fax_number": "315-673-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 E LAKE RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131528964",
            "telephone_number": "315-673-9327",
            "fax_number": "315-673-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNAK FARMS COUNTRY STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "VERNAK",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "RPH/PARTNER/OWNER",
        "authorized_official_telephone_number": "315-430-5486"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "030357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernak Farms Country Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Vail
• Audrey Hope Van Voolen, PH.D.
• Vance Chiropractic Services (Dr. Vance's Family Chiropractic)
• Neil Vance, D.C.
• Amy Lynn Vanholtz, LPN
• Charlene Mary Vernak, RPH
• Tess W Walsh, MA, LCSW, CASAC
• James Wanamaker, DDS
• Jessica A. Weathers, PT
• Westside Podiatry Center, LLP (Skaneateles Foot and Ankle Center)

• Compounding Pharmacy in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.