Vault Pharmaceuticals

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

VAULT PHARMACEUTICALS

Practice address

3167 Premier Dr
Brooksville, FL 34604-8305

Phone

(352) 777-4260

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Authorized official

Name

Michael Clurman, PHARMD

Title

Owner

Phone

(352) 777-4260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1114735248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 PREMIER DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 PREMIER DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048305",
            "telephone_number": "352-777-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAULT PHARMACEUTICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "CLURMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-777-4260",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanan Vargas, M.D.
• Joseph Andrew Varney
• Diane Vasquez, MD
• Summer Nichole Vasseur, DC
• Vatsala Sastry MD PA
• Ali Vaziri, MD
• Carlota Vazquez
• Jany Vega Castillo
• Reina M Vega
• Sai Pavan Kumar Vemula, MD

• All providers in Brooksville, FL
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.