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VERNAK FARMS COUNTRY STORE NPI 1275847089


NPI Information

NPI: 1275847089
Provider Name: VERNAK FARMS COUNTRY STORE

Doing Business As: VERNAK FARMS COUNTRY STORE

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1889 E LAKE RD
SKANEATELES, NY
ZIP 13152
Phone: (315) 673-9327
Get Directions

VERNAK FARMS COUNTRY STORE is a compounding pharmacy pharmacy in Skaneateles, NY. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. VERNAK FARMS COUNTRY STORE NPI is 1275847089. The provider is registered as an organization entity type.
The provider Is Doing Business As Vernak Farms Country Store.

The provider's business location address is:

1889 E LAKE RD
SKANEATELES, NY
ZIP 13152-964
Phone: (315) 673-9327
Fax: (315) 673-9896

The provider's authorized official is Charlene Vernak .
The authorized official title is Rph/partner/owner and has the following contact phone number (315) 430-5486.

The enumeration date for this NPI number is 8/4/2010 and was last updated on 4/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding Pharmacy030357NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12126156OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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