Vital Care of Central Alabama, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

112749 Issued in AL

Legal business name

VITAL CARE OF CENTRAL ALABAMA, LLC

Practice address

248 Keystone Drive
Clanton, AL 35045-2975

Phone

(205) 280-4175

Fax

(205) 280-4182

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Thompson Conradi, R.PH., J.D.

Title

President

Phone

(205) 280-4176

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043340409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 KEYSTONE DRIVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452975",
            "telephone_number": "205-280-4175",
            "fax_number": "205-280-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 KEYSTONE DRIVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452975",
            "telephone_number": "205-280-4175",
            "fax_number": "205-280-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE OF CENTRAL ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONRADI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-280-4176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH., J.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "112749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Clanton, AL
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• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.