VITALITY RX NPI 1699319517

NPI Information

NPI: 1699319517
Provider Name: VITALITY RX

Doing Business As: VITALITY PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
210 BLUE RAVINE RD STE 170
FOLSOM, CA
ZIP 95630
Phone: (916) 293-8687
Get Directions

VITALITY RX is a long term care pharmacy pharmacy in Folsom, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. VITALITY RX NPI is 1699319517. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitality Pharmacy.

The provider's business location address is:

210 BLUE RAVINE RD STE 170
FOLSOM, CA
ZIP 95630-796
Phone: (916) 293-8687
Fax: (916) 293-8687

The provider's authorized official is Nhatduy Ton .
The authorized official title is Ceo/pic and has the following contact phone number (916) 293-8687.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 2/1/2022.

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	3336L0003X	Pharmacy	Long Term Care Pharmacy			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	1649782541	MEDICAID	CALIFORNIA

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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