Organization Active NPI

Vital Care Pharmacy Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1295522076
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VITAL CARE PHARMACY CORP
Practice address
562 W 207TH St
New York, NY 10034-2611
Phone
(646) 524-5013
Fax
(646) 524-5014
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Wanda Languasco
Title
Owner/President
Phone
(917) 602-4530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

562 W 207TH St
New York, NY 10034-2611

Mailing address

562 W 207TH St
New York, NY 10034-2611
Phone (646) 524-5013

Other names 1

  • 207 Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250613000095 NY Part B Supplier - Pharmacy 7911418306 Practice locations: New York, NY
O20250613001787 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7911418306 Practice locations: New York, NY
O20250722000589 NY DME Supplier - Pharmacy 7911418306 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vital Care Pharmacy Corp562 W 207TH Street, New York, NY 10034(646) 524-5013 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Pneumatic Compressio… Does not accept assignmentParticipating since May 10, 2025

National Provider Directory

National Provider Directory

Locations

562 W 207TH St
NY 10034

562 W 207TH St
New York, NY 10034
Phone (646) 524-5013

562 W 207TH St
New York, NY 10034
Phone (646) 524-5013

560 W 207th St
#562W
New York, NY 10034

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1295522076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342611",
            "telephone_number": "646-524-5013",
            "fax_number": "646-524-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342611",
            "telephone_number": "646-524-5013",
            "fax_number": "646-524-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "LANGUASCO",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-602-4530"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "207 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "207 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.