Vernon Blvd Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

019391 Issued in NY

Legal business name

VERNON BLVD PHARMACY INC

Doing business as

Vernon Blvd Pharmacy Inc.

Practice address

4815 Vernon Blvd
Long Island City, NY 11101-5616

Phone

(718) 361-7390

Fax

(718) 729-9613

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Joshua Schipper, RPHNPI 1033433784

Title

Owner

Phone

(718) 361-7390

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VERNON BLVD PHARMACY INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Schipper, R.PH.

  • Pharmacist
  • Long Island City, NY
  • NPI 1033433784
  NPD Authorized official
• Jeremy Schipper, R.PH.

  • Pharmacist
  • Long Island City, NY
  • NPI 1902349921
  NPD (past)
• Una Smith, R.PH.

  • Pharmacist
  • Long Island City, NY
  • NPI 1992010235
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1457396988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 VERNON BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015616",
            "telephone_number": "718-361-7390",
            "fax_number": "718-729-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 VERNON BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015616",
            "telephone_number": "718-361-7390",
            "fax_number": "718-729-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON BLVD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHIPPER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-361-7390",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064542",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERNON BLVD PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VERNON BLVD PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Veloza-Valero, MSED.
• Herika Verdejo
• Nicolae Veresmortean, DDS
• Theresa Vergara, AGACNP-BC
• Deepika Verma
• Raquel Vernon
• Veronica Ramsarat, OD LLC
• Gregory Versailles
• Diane Vicencio, REGISTERED NURSE
• Silvana Vidal, PA-C

• Community/Retail Pharmacy in Long Island City, NY
• Providers in Long Island City, 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 13, 2021; 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.