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VITALIS DRUGS LLC NPI 1851725964


NPI Information

NPI: 1851725964
Provider Name: VITALIS DRUGS LLC

Doing Business As: VITALIS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2212334

Address:
3495 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307
Phone: (201) 222-1800
Get Directions

VITALIS DRUGS LLC is a community/retail pharmacy pharmacy in Jersey City, NJ. The provider is 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. VITALIS DRUGS LLC NPI is 1851725964. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitalis Pharmacy.

The provider's business location address is:

3495 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307-119
Phone: (201) 222-1800
Fax: (201) 222-1811

The provider's authorized official is Ashraf Ashamalla .
The authorized official title is Co-owner/manager and has the following contact phone number (201) 222-1800.

The CLIA number assigned to this NPI record is 31D2212334 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 5/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00726700NEW JERSEYYes
33336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12141572OTHERPK
20605590MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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