Active NPI
Charlene Mary Vernak, RPH
- Pharmacist
- Skaneateles, NY
National Provider Identifier
1518297969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050556-1
- Practice address
- 1889 E Lake Rd
Skaneateles, NY 13152-8695 - Phone
- (315) 685-0736
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050556-1 | NY | Primary |
Addresses
Primary practice location
1889 E Lake Rd
Skaneateles, NY 13152-8695
Mailing address
1889 East Lake Road
Skaneateles, NY 13152-1122
Phone (315) 430-5486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050556-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernak Farms Country Store | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Compounding Pharmacy
- Skaneateles, NY
- NPI 1275847089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1518297969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1889 EAST LAKE ROAD",
"city": "SKANEATELES",
"state": "NY",
"postal_code": "131521122",
"telephone_number": "315-430-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1889 E LAKE RD",
"city": "SKANEATELES",
"state": "NY",
"postal_code": "131528695",
"telephone_number": "315-685-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNAK",
"first_name": "CHARLENE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050556-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skaneateles, NY
- Audrey Hope Van Voolen, PH.D.
- Vance Chiropractic Services (Dr. Vance's Family Chiropractic)
- Neil Vance, D.C.
- Amy Lynn Vanholtz, LPN
- Vernak Farms Country Store
- Tess W Walsh, MA, LCSW, CASAC
- James Wanamaker, DDS
- Jessica A. Weathers, PT
- Westside Podiatry Center, LLP (Skaneateles Foot and Ankle Center)
- David Thomas Wheat, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.