Vincent David, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP457295 Issued in PA

Practice address

504 Marion LN
Brodheadsville, PA 18322-7064

Phone

(570) 992-2373

NPI assigned

Oct 26, 2022

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

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

Locations

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 Pennsylvania LLC

  • Community/Retail Pharmacy
  • Brodheadsville, PA
  • NPI 1346330461
  NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1710604152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 DOTTERS CORNER RD",
            "city": "KUNKLETOWN",
            "state": "PA",
            "postal_code": "180587865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MARION LN",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227064",
            "telephone_number": "570-992-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "VINCENT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP457295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Cunningham, DPT
• Dillon Curry, PHARMD
• John K Darrenkamp Sr., HIS
• David J. Murawski
• Joseph Barrett David, MD
• Matt De George
• Hadir Dweidar, CCC-SLP
• Brittany Erlsten
• Dwight Daniel Evans, MA, M.DIV., LPC
• Extract Labs & Diagnostics

• Pharmacist in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.