Healthcare Provider Details

I. General information

NPI: 1831011238
Provider Name (Legal Business Name): VIRGINIA WENZEL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HAUPPAUGE RD
COMMACK NY
11725-4431
US

IV. Provider business mailing address

16 BRIXTON RD
GARDEN CITY NY
11530-4203
US

V. Phone/Fax

Practice location:
  • Phone: 631-751-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number029966
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: