National Provider Identifier

Vincent Glenn Micieli, PHARMD

Vincent Glenn Micieli, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Ransomville, NY and a listed phone number of (716) 791-3038.

NPI 1679300230Ransomville, NYPharmacist

Profile Overview

NPI
1679300230
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
September 17, 2024
Last Updated
September 17, 2024

Practice Location

  • 3636 Ransomville RD
  • Ransomville, NY 14131-9703

Phone: (716) 791-3038

Mailing Address

  • 503 Parkside Pl
  • Youngstown, NY 14174-1231

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1679300230
Entity Type
Individual
Last Name
Micieli
First Name
Vincent
Middle Name
Glenn
Name Prefix
Dr.
Credential
PHARMD
Mailing Street Address
503 Parkside Pl
Mailing City
Youngstown
Mailing State
NY
Mailing ZIP Code
14174-1231
Mailing Country
US
Mailing Phone
(716) 628-5402
Practice Street Address
3636 Ransomville RD
Practice City
Ransomville
Practice State
NY
Practice ZIP Code
14131-9703
Practice Country
US
Practice Phone
(716) 791-3038
Enumeration Date
September 17, 2024
Last Updated
September 17, 2024
Sex
Male
Sole Proprietor
No
Certification Date
September 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
I071878-01 (New York State Immunizer Status)