Provider Demographics
NPI:1194138743
Name:VINOSKY, JEFFREY (RPH)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:VINOSKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ERNST RD
Mailing Address - Street 2:
Mailing Address - City:MOHRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19541-9556
Mailing Address - Country:US
Mailing Address - Phone:267-394-1983
Mailing Address - Fax:
Practice Address - Street 1:524 N 6TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3012
Practice Address - Country:US
Practice Address - Phone:610-374-6282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist