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VICTORY FAMILY PHARMACY LLC NPI 1912258807


NPI Information

NPI: 1912258807
Provider Name: VICTORY FAMILY PHARMACY, LLC

Doing Business As: THE APOTHECARY SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1975 VICTORY BLVD STE A
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 448-0400
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VICTORY FAMILY PHARMACY, LLC is a community/retail pharmacy pharmacy in Staten Island, NY. The provider is 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. VICTORY FAMILY PHARMACY, LLC NPI is 1912258807. The provider is registered as an organization entity type.
The provider Is Doing Business As The Apothecary Shoppe.

The provider's business location address is:

1975 VICTORY BLVD STE A
STATEN ISLAND, NY
ZIP 10314-536
Phone: (718) 448-0400
Fax: (718) 448-0404

The provider's authorized official is Alex Antonopoulos .
The authorized official title is Pharmacist / Managing Member and has the following contact phone number (718) 448-0400.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 8/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy17031602NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117 031602OTHERNEW YORKLICENSE
2FV3620893OTHERNEW YORKDEA NUMBER

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: 11/14/2023

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