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VINE PHARMACY
NPI 1679211882
Family Medicine in Benton, PA

Active since May 26, 2022
4375 RED ROCK RD, BENTON, PA 17814(570) 925-2500(570) 925-5771 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vine Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINE PHARMACY (NPI 1679211882) is a healthcare organization registered as a family medicine in Benton, Pennsylvania and active in the NPI registry since May 2022. The organization lists Charlotte K Moss, Owner, as its authorized official.

NPPES Registry Identity

NPI1679211882
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVINE PHARMACY
Location Address4375 RED ROCK RDBenton, PA 17814-7948
Mailing Address4375 Red Rock RdBenton, PA 17814-7948 · (570) 925-2500 · Fax (570) 925-5771
Phone(570) 925-2500
Fax(570) 925-5771
Organization SubpartNo
Authorized OfficialCharlotte K MossOwner · (570) 925-2500
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1679211882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4375 RED ROCK RD, Benton, PA 17814
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE K MOSS RPH
Pharmacist
4375 RED ROCK RD
BENTON, PA 17814
Columbia County (570) 925-2500
VINE PHARMACY
Pharmacy (Long Term Care Pharmacy)
4375 RED ROCK RD
BENTON, PA 17814
Columbia County (570) 925-2500
VINE PHARMACY
Pharmacy (Community/Retail Pharmacy)
4375 RED ROCK RD
BENTON, PA 17814
Columbia County (570) 925-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vine Pharmacy's NPI number?

The NPI number for Vine Pharmacy is 1679211882. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Vine Pharmacy located?

Vine Pharmacy is located at 4375 Red Rock Rd, Benton, PA 17814. The listed phone number is (570) 925-2500.

What is Vine Pharmacy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vine Pharmacy was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.