VITALAB PHARMACY INC (NPI# 1073982120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073982120 |
| Entity Type | Organization |
| Organization Name | VITALAB PHARMACY INC |
| Other Organization Name | VASCO INFUSION |
| Practice Address |
4045 E Bell Rd Ste 157 Suite 157 Phoenix AZ 85032 |
| Mailing Address |
4045 E Bell Rd Ste 157 Suite 157 Phoenix AZ 85032-2240 |
| Practice Telephone | 6023460204 |
| Practice Fax Number | 8776376691 |
| Mailing Telephone | 6023460204 |
| Mailing Fax Number | 8776376691 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MR. PAUL VASILIAUSKAS (SR.V.P. BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 6029716950 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | ALERACARE HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 127832 | 05 | |
| AZ | 302331 | 05 |
| Other Name | Type Code |
|---|---|
| Vasco Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821594102 | Vitalab Pharmacy Inc | Clinic/Center | 1763 W 24th St Ste 102, Yuma, AZ 85364-6219 | 2018-04-04 |
| 1982210191 | Vitalab Pharmacy Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| 1083220289 | Vitalab Pharmacy Inc | Clinic/Center | 1501 S Yale St Ste 152, Flagstaff, AZ 86001-7337 | 2020-09-22 |
| 1356957567 | Vitalab Pharmacy Inc | Clinic/Center | 690 E Warner Rd Ste 131, Gilbert, AZ 85296-3057 | 2020-09-22 |
| 1134684616 | Vitalab Pharmacy Inc | Clinic/Center | 2110 W 24th St, Yuma, AZ 85364-8878 | 2019-02-08 |
| 1922596626 | Vitalab Pharmacy Inc | Clinic/Center | 9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-6276 | 2018-04-27 |
| 1265938534 | Vitalab Pharmacy Inc | Clinic/Center | 2120 W Ina Rd Ste 100, Tucson, AZ 85741-5501 | 2018-04-04 |
| 1316443690 | Vitalab Pharmacy Inc | Clinic/Center | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2018-04-04 |
| 1245776475 | Vitalab Pharmacy Inc | Clinic/Center | 3900 E Broadway Blvd, Suite 201, Tucson, AZ 85711-3453 | 2017-01-11 |
| 1427592088 | Vitalab Pharmacy Inc | Clinic/Center | 12020 S Warner Elliot Loop, Ste 101, Phoenix, AZ 85044-2700 | 2016-12-15 |
| Street Address |
4045 E BELL RD STE 157 SUITE 157 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245277243 | Timothy J Burns | Internal Medicine | 4045 E Bell Rd Ste 157, Phoenix, AZ 85032-2240 | 2006-05-31 |
| 1649765801 | Vasco Healthcare Inc | Clinic/Center | 4045 E Bell Rd Ste 157, Phoenix, AZ 85032-2240 | 2018-06-28 |
| 1811206949 | Angela Lillo | Nurse Practitioner | 4045 E Bell Rd Ste 157, Phoenix, AZ 85032-2240 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557638 | Nourish Health Pllc | Clinic/Center | 31316 N 1st St, Phoenix, AZ 85085-7220 | 2019-03-19 |
| 1770095820 | Optim Ketamine Clinics LLC | Clinic/Center | 10255 N 32nd St Ste B, Phoenix, AZ 85028-3822 | 2017-10-30 |
| 1740790823 | Ketamine Infusion Centers LLC | Clinic/Center | 3724 N 3rd St Ste 201, Phoenix, AZ 85012-2034 | 2017-10-03 |
| 1528251311 | Arizona Medical Infusion | Clinic/Center | 20650 N 29th Pl, Suite 105, Phoenix, AZ 85050-4782 | 2007-08-24 |
| 1225635022 | All Ways Homecare LLC | Clinic/Center | 14631 N Cave Creek Rd Ste 101, Phoenix, AZ 85022-4100 | 2020-10-05 |
| 1427592088 | Vitalab Pharmacy Inc | Clinic/Center | 12020 S Warner Elliot Loop, Ste 101, Phoenix, AZ 85044-2700 | 2016-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560558 | Kic Scottsdale LLC | Clinic/Center | 10555 N 114th St Ste 105, Scottsdale, AZ 85259-4940 | 2018-12-19 |
| 1073080305 | Yuma Outpatient Medical Services, LLC | Clinic/Center | 2281 W 24th St Ste 14, Yuma, AZ 85364-6197 | 2018-10-24 |
| 1821594102 | Vitalab Pharmacy Inc | Clinic/Center | 1763 W 24th St Ste 102, Yuma, AZ 85364-6219 | 2018-04-04 |
| 1659894251 | Honorhealth Ambulatory | Clinic/Center | 3501 N Scottsdale Rd Ste 230, Scottsdale, AZ 85251-5649 | 2017-07-25 |
| 1558771378 | H2b2az,llc | Clinic/Center | 29850 N Tatum Blvd, Suite 114, Cave Creek, AZ 85331-5867 | 2014-05-01 |
| 1124635396 | Colton Health Az, LLC | Clinic/Center | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2020-09-30 |
| 1982210191 | Vitalab Pharmacy Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| 1083220289 | Vitalab Pharmacy Inc | Clinic/Center | 1501 S Yale St Ste 152, Flagstaff, AZ 86001-7337 | 2020-09-22 |
| 1356957567 | Vitalab Pharmacy Inc | Clinic/Center | 690 E Warner Rd Ste 131, Gilbert, AZ 85296-3057 | 2020-09-22 |
| 1104476993 | Renew Infusions LLC | Clinic/Center | 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234-2736 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VITALAB PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.