Nicholas Vachon, PHARMD
Individual provider Active NPI Pharmacist · Colonie, NY
NPI 1356974844 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1356974844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 069088 (NY)
- Practice address
- 96 Wolf Rd
Colonie, NY 12205-1207 - Phone
- (518) 482-1925
- NPI assigned
- Feb 13, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069088 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martins Foods of South Burlington LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 069088 | NY | Yes |
Addresses
Primary practice location
96 Wolf Rd
Colonie, NY 12205-1207
Mailing address
96 Wolf Rd
Colonie, NY 12205-1207
Phone (518) 482-1925
Other providers in Colonie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.