Organization Active NPI

Vitalguard Pharma

  • Durable Medical Equipment & Medical Supplies
  • Butler, WI
National Provider Identifier
1184411563
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITALGUARD PHARMA
Practice address
4554 N 126TH St
Butler, WI 53007-2107
Phone
(414) 307-4834
NPI assigned
Apr 21, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Austin Reeves HamillNPI 1538019468
Title
Ceo
Phone
(414) 307-4834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4554 N 126TH St
Butler, WI 53007-2107

Mailing address

4554 N 126TH St
Butler, WI 53007-2107
Phone (414) 307-4834

National Provider Directory

National Provider Directory

Locations

4554 N 126th St
Butler, WI 53007
Phone (414) 307-4834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1184411563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N 126TH ST",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530072107",
            "telephone_number": "414-307-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N 126TH ST",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530072107",
            "telephone_number": "414-307-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALGUARD PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "HAMILL",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "REEVES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-307-4834"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.