MEDICARE: VOGEL PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	045006	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265597587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOGEL PHARMACY INC.

Provider Business Mailing Address
First Line	:	234 MAIN ST
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2732
Country	:	US
Telephone Number	:	845-831-3784
Fax Number	:	845-831-0065

Provider Business Practice Location Address
First Line	:	234 MAIN ST
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2732
Country	:	US
Telephone Number	:	845-831-3784
Fax Number	:	845-831-0065

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTHONY VALICENTI JR.
Credential	:	BS-PHARMACY
Telephone Number	:	845-831-3784

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	08/22/2020

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