V & B Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030925 Issued in NY

Legal business name

V & B PHARMACY INC

Doing business as

Haven Drugs

Practice address

1699 Route 112
Medford, NY 11763-3660

Phone

(631) 289-6888

Fax

(631) 289-0208

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Anthony BambaceNPI 1053592303

Title

President

Phone

(917) 273-0008

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Haven Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

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

• Anthony Louis Bambace

  • Pharmacist
  • Island Park, NY
  • NPI 1053592303
  NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1316038060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633660",
            "telephone_number": "631-289-6888",
            "fax_number": "631-289-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633660",
            "telephone_number": "631-289-6888",
            "fax_number": "631-289-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V & B PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "BAMBACE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-273-0008"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3372478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01339642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Tringone, LCSW
• True Care of Long Island LLC
• Asiaj C Tullon, LPN
• Suzanne A Tullon, RN
• Allison Tyska-Pettersen
• Kristina Vaiano, L.P.N.
• Samantha Vallejo, RDN
• Fnu Varsha
• Kyle A Vatalaro, LCSW
• Yolanda Vazquez, L.C.S.W.

• Community/Retail Pharmacy in Medford, NY
• Providers in Medford, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.