Vip Pharmacy Corp.

Primary specialty

PharmacyTaxonomy code 333600000X

License

031735 Issued in NY

Legal business name

VIP PHARMACY CORP.

Practice address

10005 Roosevelt Ave
Corona, NY 11368-4880

Phone

(718) 898-1100

Fax

(718) 898-1101

NPI assigned

Mar 1, 2013

Last updated

Oct 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yelena Mosheyeva

Title

President

Phone

(718) 898-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1477893386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "718-898-1100",
            "fax_number": "718-898-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "718-898-1100",
            "fax_number": "718-898-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "MOSHEYEVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-898-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Corona, NY
• Providers in Corona, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.