Nicole Marie Vannostrand, PHARMD
Individual provider Active NPI Pharmacist · Vestal, NY
NPI 1962050526 · NPPES record last updated Aug 27, 2019
Key facts
- NPI
- 1962050526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 065881 (NY)
- Practice address
- 3101 Shippers Rd
Vestal, NY 13850-2080 - Phone
- (607) 251-2191
- Fax
- (607) 251-2194
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065881 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 065881 | NY | Yes |
Addresses
Primary practice location
3101 Shippers Rd
Vestal, NY 13850-2080
Mailing address
3101 Shippers Rd
Vestal, NY 13850-2080
Phone (607) 251-2191
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.