MEDICAL VILLAGE VITAL CARE INC. NPI 1376569939

NPI Information

NPI: 1376569939
Provider Name: MEDICAL VILLAGE VITAL CARE, INC.

Doing Business As: MEDICAL VILLAGE PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3412 GRAYSTONE PL # B
CONOVER, NC
ZIP 28613
Phone: (828) 322-4775
Get Directions

MEDICAL VILLAGE VITAL CARE, INC. is a durable medical equipment medical supplies in Conover, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDICAL VILLAGE VITAL CARE, INC. NPI is 1376569939. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Village Pharmacy.

The provider's business location address is:

3412 GRAYSTONE PL # B
CONOVER, NC
ZIP 28613-200
Phone: (828) 322-4775
Fax: (828) 267-0322

The provider's authorized official is James Suarez .
The authorized official title is President and has the following contact phone number (828) 322-4775.

The enumeration date for this NPI number is 7/15/2006 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	332B00000X	Durable Medical Equipment & Medical Supplies		6040	NORTH CAROLINA	Yes
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	6040	NORTH CAROLINA	X
3	333600000X	Pharmacy		6040	NORTH CAROLINA	X
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	6040	NORTH CAROLINA	X
5	3336L0003X	Pharmacy	Long Term Care Pharmacy	6040	NORTH CAROLINA	X
6	3336S0011X	Pharmacy	Specialty Pharmacy	6040	NORTH CAROLINA	X
7	3336M0002X	Pharmacy	Mail Order Pharmacy	640	NORTH CAROLINA	X
8	3336C0003X	Pharmacy	Community/Retail Pharmacy	6040	NORTH CAROLINA	X

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	7701785	MEDICAID	NORTH CAROLINA
2	6800341	MEDICAID	NORTH CAROLINA
3	0185983	MEDICAID	NORTH CAROLINA
4	0456Z	OTHER	NORTH CAROLINA	BCBS HIT

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: 5/5/2024

NPI Synchronization or Removal

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