| NPI | 1114014164 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-09 |
| Last Updated | 2023-03-07 |
| Authorized Official | Michael Machen President Phone: 3154875775 |
| Mailing Address | 240 Township Blvd Ste 30 Camillus, NY 13031-1793 United States Phone: (315) 487-5775 | Fax: (315) 487-4423 📍 View Map |
| Primary Practice Address | 240 Township Blvd Ste 30 Camillus, NY 13031-1793 United States Phone: (315) 487-5775 | Fax: (315) 487-4423 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 00905748 | — |
| Other (non-Medicare) | NY | 3384928 | NCPDP # |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 018681 |
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About NPI 1114014164
Vince'S Pharmacy Of Camillus Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114014164. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Camillus, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114014164?
NPI 1114014164 belongs to Vince'S Pharmacy Of Camillus Inc, a Pharmacy, Community/Retail Pharmacy in Camillus, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114014164 active?
The current status of NPI 1114014164 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1114014164?
NPI 1114014164 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114014164?
You can verify NPI 1114014164 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114014164?
The primary practice address on file for NPI 1114014164 is 240 Township Blvd Ste 30, Camillus, NY 13031-1793. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114014164 issued?
NPI 1114014164 was first issued (enumerated) on 2006-10-09. The NPPES record was last updated on 2023-03-07.
Practice Location Map
Vince'S Pharmacy Of Camillus Inc is located at 240 Township Blvd Ste 30, Camillus, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Vince'S Pharmacy Of Camillus Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114014164. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 018681 | NY |