Joseph Vieau III, PHARMD
Individual provider Active NPI Pharmacist · Chittenango, NY
NPI 1447639596 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1447639596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- I055905 (NY)
- Practice address
- 703 E Genesee St
Chittenango, NY 13037-1329 - Phone
- (315) 687-6110
- NPI assigned
- May 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| I055905 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past |
Accepting new patients | |
| KPH Healthcare Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I055905 | NY | Yes |
Addresses
Primary practice location
703 E Genesee St
Chittenango, NY 13037-1329
Mailing address
540 Genesee St
Chittenango, NY 13037-1606
Phone (315) 687-6110
Other providers in Chittenango, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. 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.