VINE PHARMACY (NPI# 1720592215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720592215 |
| Entity Type | Organization |
| Organization Name | VINE PHARMACY |
| Other Organization Name | VINE PHARMACY |
| Practice Address |
4375 Red Rock Rd Benton PA 17814-7948 |
| Practice Telephone | 5709252500 |
| Practice Fax Number | 5709255771 |
| Mailing Telephone | 5709252500 |
| Mailing Fax Number | 5709255771 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | CHARLOTTE K MOSS (PHARMACIST OWNER) |
| Authorized Official Telephone | 5709252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482763 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Vine Pharmacy | Doing Business As Name - Organization |
| Street Address |
4375 RED ROCK RD |
| City | BENTON |
| State | PA |
| Zip Code | 17814-7948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023099 | Charlotte K Moss | Pharmacist | 4375 Red Rock Rd, Benton, PA 17814-7948 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437319175 | Benton Volunteer Fire Company Ambulance Assoc | Ambulance | 150 Colley St, Benton, PA 17814 | 2008-06-16 |
| 1497886063 | Benton Volunteer Fire Company | Ambulance | 150 Colley St., Benton, PA 17814 | 2007-03-08 |
| 1396815312 | Thomas Anthony Kowalski | Dentist | 2 & Half & Market Streets, Benton, PA 17814 | 2006-11-08 |
| 1982717328 | Kenneth Detlaf Cross | Dentist | 510 Main St, Benton, PA 17814 | 2006-08-17 |
| 1609868512 | Dale Neiderhiser | Chiropractor | 224 Main St, Benton, PA 17814-0124 | 2005-08-17 |
| 1124040795 | Colpharm Inc | Pharmacy | 283-285 Main St, Benton, PA 17814-0251 | 2006-07-24 |
| 1174738587 | John Joseph Hutnick | Optometrist | 110 Main Street, Benton, PA 17814-0275 | 2007-05-11 |
| 1497874259 | Sugarloaf Community Rescue & Ambulance Association | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-03-29 |
| 1609055896 | Sugarloaf Community Rescue & | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-10-24 |
| 1225094733 | Benton Area School District | Local Education Agency (LEA) | 600 Green Acres Rd, Benton, PA 17814-7603 | 2006-04-24 |
| Find all providers in zip 17814 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580939 | Jw Pharmacy Inc | Pharmacy | 34 Us Highway 68 E Unit A, Benton, KY 42025-8336 | 2019-10-27 |
| 1124040795 | Colpharm Inc | Pharmacy | 283-285 Main St, Benton, PA 17814-0251 | 2006-07-24 |
| 1861740615 | Kentucky Cvs Pharmacy, LLC | Pharmacy | 405 Main St, Benton, KY 42025-1119 | 2012-08-28 |
| 1003956152 | J&k Pharmacy, Inc. | Pharmacy | 1112 Main St, Benton, KY 42025-1450 | 2007-02-07 |
| 1144301136 | Access Pharmacy | Pharmacy | 920 Edison Ave, Suite 9, Benton, AR 72015-4502 | 2006-10-18 |
| 1457454225 | Highland Park Cvs, L.L.C. | Pharmacy | 705 W Main St, Benton, IL 62812-1329 | 2006-09-07 |
| 1558478925 | Freds Stores of Tennessee Inc | Pharmacy | 5604 Hwy 3, Benton, LA 71006 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.