Vitalmedrx

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

5043 Issued in TN

Legal business name

VITALMEDRX

Doing business as

Vitalmedrx

Practice address

235 E Morris Blvd
Morristown, TN 37813-2342

Phone

(423) 289-1774

NPI assigned

Aug 26, 2013

Last updated

Aug 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Lemarr

Title

Owner

Phone

(865) 803-1714

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Vitalmedrx Doing business as

Tax ID family

Vitalmedrx2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vitalmedrx

  • Pharmacy
  • Morristown, TN
  • NPI 1952738098
  NPD tax ID

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1144654245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LOCHMERE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132342",
            "telephone_number": "423-289-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALMEDRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "LEMARR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-803-1714"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitalmedrx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Marie Vance, MSW
• Melanie Leann Vassar, RN
• Hector L Vega, PAC
• Angela May Vie, D.D.S.
• Joshua Vincent, LMFT
• Vitalmedrx
• Kacey Q. Voelker, MSN, FNP-BC
• Andrea Terri Vogel, LCSW
• Volunteer Healthcare Services, Inc. (Dynamic Therapy)
• Volunteer Healthcare Services, Inc. (Dynamic Therapy)

• Compounding Pharmacy in Morristown, TN
• Providers in Morristown, TN by specialty
• Compounding Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.