Vida Mas Pharmacia Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VIDA MAS PHARMACIA INC

Doing business as

VIDA MAS FARMACIA HUNTINGTON STATION

Practice address

1783 New York Ave
Huntington Station, NY 11746-2470

Phone

(631) 683-5555

Fax

(631) 683-4163

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Roshel Sionov

Title

Owner

Phone

(631) 683-5555

Specialties & licenses 1

Addresses

Other names 1

• VIDA MAS FARMACIA HUNTINGTON STATION Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vida Mas Pharmacia Inc

  • Community/Retail Pharmacy
  • Brentwood, NY
  • NPI 1811632573

  3678955804

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Liakeas, R.PH.

  • Pharmacist
  • Huntington Station, NY
  • NPI 1871459925
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1831951045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462470",
            "telephone_number": "631-683-5555",
            "fax_number": "631-683-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462470",
            "telephone_number": "631-683-5555",
            "fax_number": "631-683-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MAS PHARMACIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "SIONOV",
        "authorized_official_first_name": "ROSHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-683-5555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDA MAS FARMACIA HUNTINGTON STATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Veit, RN
• Karla Veliz
• Linda Vespoli-Matthews, RD
• Rachel Vetter, LCSW
• Loures Roselle Victoriano, LMSW
• Tannya Gabriela Viera, PA
• Javier Francisco Vieytez, MD
• Elizabeth Vigh
• Megan A Vincent, PMHNP
• James Vitale, L.AC

• Community/Retail Pharmacy in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.