Varela Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

034802 Issued in NY

Legal business name

VARELA PHARMACY INC.

Practice address

5314 Roosevelt Ave
Woodside, NY 11377-4239

Phone

(917) 832-6095

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Roger Fernandez, RPH

Title

Owner/Pharmacist

Phone

(917) 832-6095

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1689127383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774239",
            "telephone_number": "917-832-6095",
            "fax_number": "347-531-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774239",
            "telephone_number": "917-832-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARELA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "917-832-6095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034802",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04650419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "034802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Catherine Valencia, LMSW
• Rachel Valencia
• Milady Valerio
• Patricia Vallecillo-Cintron, COTA
• Philomena Aliya Vallos, LMSW
• Cristaly Vascones, LMHC
• Hugo F Vasquez, DDS.
• Leon A Vasquez I, DDS
• Lorraine Vasquez, O.D.
• Erica Vassell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.