Vital Systems of Oklahoma Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

VITAL SYSTEMS OF OKLAHOMA INC

Practice address

1218 E Highline Lane
Mustang, OK 73064-5133

Phone

(405) 376-9980

Fax

(405) 376-9981

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Toni Anson

Title

Business MNGR

Phone

(405) 376-9980

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Amber Nicole Ellis, NP

  • Family Nurse Practitioner
  • Edmond, OK
  • NPI 1144705849
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1205901964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E HIGHLINE LANE",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645133",
            "telephone_number": "405-376-9980",
            "fax_number": "405-376-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E HIGHLINE LANE",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645133",
            "telephone_number": "405-376-9980",
            "fax_number": "405-376-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SYSTEMS OF OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ANSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "BUSINESS MNGR",
        "authorized_official_telephone_number": "405-376-9980"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "OK",
            "license": "7470",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100812300A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100812300B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Vazquez
• Esther Velasco
• Vibrant Life Direct Care, PLLC
• Hermione Villanueva
• Steven Mark Vincent, D.D.S.
• Rachel Wahl
• Wal-Mart Stores East LP
• Walgreen Co
• Alphonso Wallace III
• Heaven Walls

• Home Infusion Therapy Pharmacy in Mustang, OK
• Providers in Mustang, OK by specialty
• Home Infusion Therapy Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.