OrganizationActive
Vine Pharmacy
NPI 1679211882 · Family Medicine Physician · Benton, PA
Vine Pharmacy is a Family Medicine Physician organization in Benton, PA (NPI 1679211882).
Provider details
- NPI number
- 1679211882
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlotte Moss, Owner(570) 925-2500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4375 Red Rock Rd
Benton, PA 17814-7948
Phone: (570) 925-2500
Fax: (570) 925-5771
Approximate (ZIP-level) locationGet directions
Mailing address
4375 Red Rock Rd
Benton, PA 17814-7948
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2022-05-26
- Certified
- 2022-05-26
Frequently asked questions
- What is Vine Pharmacy's NPI number?
- Vine Pharmacy's National Provider Identifier (NPI) is 1679211882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vine Pharmacy?
- Vine Pharmacy is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vine Pharmacy located?
- Vine Pharmacy's practice location on file with NPPES is 4375 Red Rock Rd, Benton, PA 17814-7948.
- What is Vine Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Vine Pharmacy is (570) 925-2500.
- Who is the authorized official for Vine Pharmacy?
- The authorized official listed on Vine Pharmacy's NPPES record is Charlotte Moss, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vine Pharmacy's NPI active?
- Yes — Vine Pharmacy's NPI (1679211882) is active in the NPPES registry as of the last update on 2022-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.