Vincent Glenn Micieli, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

071878 Issued in NY

Practice address

3636 Ransomville Rd
Ransomville, NY 14131-9703

Phone

(716) 791-3038

NPI assigned

Sep 17, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 03500

  • Community/Retail Pharmacy
  • Ransomville, NY
  • NPI 1427167907
  NPD (past)
• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 03733

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1679300230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PARKSIDE PL",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141741231",
            "telephone_number": "716-628-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319703",
            "telephone_number": "716-791-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICIELI",
        "first_name": "VINCENT",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE IMMUNIZER STATUS",
            "identifier": "I071878-01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynne Graeff, RN
• Heritage Manor of Ransomville
• Deanna J Ingraham
• Jacqueline M Leggett, RN
• Mary Ann Martinez, MT
• Taylor Ann Miller
• Helen Rozine Nicosia, R.N.
• Laura L Ostrander, LPN
• John James Perak, LCSWR
• Ransomville Volunteer Fire Company

• Pharmacist in Ransomville, NY
• Providers in Ransomville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.