NPIMap

Organization Active NPI

Vic Vena Pharmacy, Inc

  • Pharmacy
  • Olean, NY
National Provider Identifier
1710933833
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
018816 Issued in NY
Legal business name
VIC VENA PHARMACY, INC
Practice address
1322 W State St
Olean, NY 14760-2036
Phone
(716) 372-7761
Fax
(716) 372-4525
NPI assigned
May 26, 2006
Last updated
Apr 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Victor A VenaNPI 1225047178
Title
President
Phone
(716) 372-7761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 018816 NY Primary

Addresses

Primary practice location

1322 W State St
Olean, NY 14760-2036

Mailing address

1322 W State St
Olean, NY 14760-2036
Phone (716) 372-7761

Other identifiers 1

IdentifierTypeStateIssuer
00916596MedicaidNY

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1710933833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602036",
            "telephone_number": "716-372-7761",
            "fax_number": "716-372-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602036",
            "telephone_number": "716-372-7761",
            "fax_number": "716-372-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIC VENA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "VENA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-372-7761"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00916596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.