Active NPI
Mvmedshop, Inc
- Community/Retail Pharmacy
- Vineyard Haven, MA
National Provider Identifier
1699847210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CS3590
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440388 | Medicaid | MA | |
| 2037029 | Other | PK |
Other names 1
- Vineyard Scripts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170907002404 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153694401 | Practice locations: Vineyard Haven, MA |
National Provider Directory
National Provider DirectoryNPI 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.