Healthcare Provider Details

I. General information

NPI: 1033026018
Provider Name (Legal Business Name): JACQUES HUGHES VILUS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 S 4TH AVE
MOUNT VERNON NY
10550-3105
US

IV. Provider business mailing address

161 BUCKINGHAM PL
LYNBROOK NY
11563-1954
US

V. Phone/Fax

Practice location:
  • Phone: 914-863-0399
  • Fax:
Mailing address:
  • Phone: 914-216-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number057631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: