Organization Active NPI

Mvmedshop, Inc

  • Community/Retail Pharmacy
  • Vineyard Haven, MA
National Provider Identifier
1699847210
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CS3590 Issued in MA
Legal business name
MVMEDSHOP, INC
Doing business as
Vineyard Scripts
Practice address
117 Beach Road
Vineyard Haven, MA 02568
Phone
(508) 693-7979
Fax
(508) 693-4002
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Steven James Perzanowski
Title
Pharmacy Manager/Co-Owner
Phone
(508) 693-7979

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CS3590 MA Primary

Addresses

Primary practice location

117 Beach Road
Vineyard Haven, MA 02568

Mailing address

PO Box 1749
Vineyard Haven, MA 02568-0910
Phone (508) 693-7979

Other identifiers 2

IdentifierTypeStateIssuer
0440388MedicaidMA
2037029OtherPK

Other names 1

  • Vineyard Scripts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907002404 MA Part B Supplier - Mass Immunization (Roster Biller Only) 1153694401 Practice locations: Vineyard Haven, MA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1699847210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680910",
            "telephone_number": "508-693-7979",
            "fax_number": "508-693-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BEACH ROAD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-693-7979",
            "fax_number": "508-693-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVMEDSHOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "PERZANOWSKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "508-693-7979"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "CS3590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440388",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Scripts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.