REISZ PHARMACEUTICALS VITAL CARE INC. NPI 1164432126

NPI Information

NPI: 1164432126
Provider Name: REISZ PHARMACEUTICALS VITAL CARE, INC.

Doing Business As: REISZ PHARMACEUTICALS VITAL CARE

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
2315 MAYFAIR DR
MAYFAIR SQUARE PROFESSIONAL BUILDING
OWENSBORO, KY
ZIP 42301
Phone: (270) 683-7379
Get Directions

REISZ PHARMACEUTICALS VITAL CARE, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Owensboro, KY. REISZ PHARMACEUTICALS VITAL CARE, INC. NPI is 1164432126. The provider is registered as an organization entity type.
The provider Is Doing Business As Reisz Pharmaceuticals Vital Care.

The provider's business location address is:

2315 MAYFAIR DR
MAYFAIR SQUARE PROFESSIONAL BUILDING
OWENSBORO, KY
ZIP 42301-557
Phone: (270) 683-7379

The provider's authorized official is E Reisz .
The authorized official title is Owner and has the following contact phone number (270) 683-7379.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	P02023	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	61128006	OTHER		CHAMPUS/TRICARE
2	1445572	OTHER		UMWA
3	54029384	MEDICAID	KENTUCKY
4	90140302	MEDICAID	KENTUCKY
5	000000069966	OTHER	KENTUCKY	BCBS
6	4055675	OTHER	TENNESSEE	BCBS, NON-PAR

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: 11/14/2023

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