Provider Demographics
NPI:1467721274
Name:VBVS PHARMACY INC
Entity Type:Organization
Organization Name:VBVS PHARMACY INC
Other - Org Name:GOLDBERGERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST/ SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMWEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:917-545-3681
Mailing Address - Street 1:1200 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7105
Mailing Address - Country:US
Mailing Address - Phone:212-734-6998
Mailing Address - Fax:212-734-7333
Practice Address - Street 1:1200 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7100
Practice Address - Country:US
Practice Address - Phone:212-734-6998
Practice Address - Fax:212-734-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6682580001Medicare NSC