Vanco Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024749 Issued in NY

Legal business name

VANCO PHARMACY INC

Practice address

30 Vanderbilt Motor Pkwy
Commack, NY 11725-5410

Phone

(631) 499-1111

Fax

(631) 499-1127

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mitchell Melone, RPHNPI 1144542721

Title

Owner

Phone

(631) 499-1111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VANCO PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Mitchell Melone

  • Pharmacist
  • New Hyde Park, NY
  • NPI 1144542721
  NPD Authorized official
• Glenn O'Kane

  • Pharmacist
  • Commack, NY
  • NPI 1780907550
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1851337307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VANDERBILT MOTOR PKWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255410",
            "telephone_number": "631-499-1111",
            "fax_number": "631-499-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VANDERBILT MOTOR PKWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255410",
            "telephone_number": "631-499-1111",
            "fax_number": "631-499-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MELONE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-499-1111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3380502",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02065869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corrine Nicole Valenti
• Christine Valeri, M.S
• Gary Valevich, PHARMD
• Sonia Valle, O.D.
• Hannah Leigh Van Ronk, LMHC
• Walter Paul Vancura, P.T.
• Christopher John Vandewater
• Betsy Varughese, PHARM D
• Vascular Diagnostics of Li PC
• Lisa Jo Vasiluth, MSED

• Community/Retail Pharmacy in Commack, NY
• Providers in Commack, 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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.