VITALAB PHARMACY INC (NPI# 1578007308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578007308 |
| Entity Type | Organization |
| Organization Name | VITALAB PHARMACY INC |
| Other Organization Name | VASCO INFUSION |
| Practice Address |
7615 W Thunderbird Rd Ste 106 Peoria AZ 85381-6083 |
| Mailing Address |
4045 E Bell Rd Ste 163 Phoenix AZ 85032-2240 |
| Practice Telephone | 6023460204 |
| Practice Fax Number | 8776376691 |
| Mailing Telephone | 6029716950 |
| Mailing Fax Number | 6024042504 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | PAUL VASILIAUSKAS (SR VP BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 6029716950 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALERACARE HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| 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 |
7615 W THUNDERBIRD RD STE 106 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-6083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386618650 | Kenneth O Anaeme | Internal Medicine | 7615 W Thunderbird Rd Ste 106, Peoria, AZ 85381 | 2006-02-14 |
| 1841806064 | Vasco Healthcare Inc | Clinic/Center | 7615 W Thunderbird Rd Ste 106, Peoria, AZ 85381-6083 | 2020-09-22 |
| 1841649597 | Patricia Navarro | Nurse Practitioner | 7615 W Thunderbird Rd Ste 106, Peoria, AZ 85381-6083 | 2016-06-03 |
| 1033270723 | Kenneth O Anaeme LLC | Emergency Medicine | 7615 W Thunderbird Rd Ste 106, Peoria, AZ 85381 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.