1. Home
  2. Directory
  3. Pennsylvania
  4. Benton
  5. Pharmacy
  6. NPI Profile

VINE PHARMACY
NPI 1720592215
Pharmacy - Community/Retail Pharmacy in Benton, PA

Active since November 20, 2017
4375 RED ROCK RD, BENTON, PA 17814(570) 925-2500(570) 925-5771 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, Nov 20, 2017 (2 updates tracked since 2017).

About Vine Pharmacy NPPES

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

VINE PHARMACY (NPI 1720592215) is a healthcare organization registered as a community/retail pharmacy in Benton, Pennsylvania and active in the NPI registry since November 2017. The organization lists Charlotte K Moss, Pharmacist Owner, as its authorized official.

NPPES Registry Identity

NPI1720592215
Entity TypeOrganization
Primary Taxonomy3336C0003X
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 MossPharmacist Owner · (570) 925-2500
Enumeration DateNovember 20, 2017
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1720592215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · PP482763
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4375 RED ROCK RD, Benton, PA 17814
Open in Google Maps ↗

Other Names 1

Doing Business AsVine Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Humana, Medica and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
150 services150 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
128 services128 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
28 services28 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Vine Pharmacy carries, from the Medicare DMEPOS supplier directory.

Vine Pharmacy

DMEPOS supplier · Benton, PA
✔

Accepts Medicare assignment

Vine Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20457245
Medicare Participant SinceJanuary 1, 2018
Supplier Location4375 Red Rock RdBenton, PA 17814
Phone(570) 925-2500
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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
Family Medicine
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 1720592215. It was assigned to this organization in the NPPES registry on November 20, 2017.

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 Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Vine Pharmacy accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vine Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Vine Pharmacy accept?

Health plans from AvMed, Humana, Medica and Moda Health Plan, Inc. list Vine Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vine Pharmacy was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.