St Vincent Depaul Volunteer Community Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PH17208 Issued in FL

Legal business name

ST VINCENT DEPAUL VOLUNTEER COMMUNITY PHARMACY

Doing business as

Virginia Andes Volunteer Community Pharmacy

Practice address

21297 Olean Blvd Unit B
Port Charlotte, FL 33952-4609

Phone

(941) 766-9570

Fax

(941) 249-4609

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Valeria Fogel, PHARMDNPI 1952425365

Title

Pharmacy Director

Phone

(941) 766-1584

Specialties & licenses 1

Addresses

Other names 1

• Virginia Andes Volunteer Community Pharmacy Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Valeria Fogel, PHARM D

  • Pharmacist
  • Port Charlotte, FL
  • NPI 1952425365
  NPD Authorized official
• Deanna Marie Cole, APRN

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1467922922
  NPD (past)
• Sherrie O'Callaghan

  • Family Nurse Practitioner
  • North Port, FL
  • NPI 1043865587
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1396016945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD UNIT B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339524609",
            "telephone_number": "941-766-9570",
            "fax_number": "941-249-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD UNIT B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339524609",
            "telephone_number": "941-766-9570",
            "fax_number": "941-249-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT DEPAUL VOLUNTEER COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "941-766-1584",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH17208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Andes Volunteer Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Andes Volunteer Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen A Spencer, MD PA
• Nina Spitler
• Spliddie Harrison
• Split Mountain Emergency Physicians LLC
• Split Mountain Emergency Physicians LLC
• St. Joseph Emergency Medical Physicians PA (Florida Regional Emergency Associates)
• St. Lucy's Outpatient Surgery Center, LLC
• Maura Stanchak, D.D.S.
• Sarah Stanton, ARNP
• Dennis J Stapleton, M.D.

• Clinic Pharmacy in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Clinic Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.