Vita Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VITA PHARMACY INC

Practice address

279-281 W Elk Trail Rd
Carol Stream, IL 60188

Phone

(630) 517-8023

Fax

(630) 517-8071

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Bhagvatiben Patel

Title

Owner

Phone

(217) 418-9581

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VITA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhargavkumar Patel, RPH

  • Pharmacist
  • Villa Grove, IL
  • NPI 1366050627
  NPD

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1205496296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279-281 W ELK TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188",
            "telephone_number": "630-517-8023",
            "fax_number": "630-517-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279-281 W ELK TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188",
            "telephone_number": "630-517-8023",
            "fax_number": "630-517-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAGVATIBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-418-9581"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED PHARMACY LICENSE",
            "identifier": "054.021162",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLL SUBSTANCE LICENSE",
            "identifier": "320.012979",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya Varkey, PT, DPT
• Roshni A. Vasaiwala, M.D.
• Emily Elizabeth Viglielmo, PHARMD
• Kellie Virnich, MS, LPC
• Vision Diagnostics Inc.
• Vna Health Care
• Vna Health Care
• VI Vo
• William Vogds, DC.
• Dipika C Vyas

• Community/Retail Pharmacy in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.