Vitalab Pharmacy Inc

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VITALAB PHARMACY INC

Practice address

2120 W Ina Rd Ste 100
Tucson, AZ 85741-5501

Phone

(602) 346-0204

NPI assigned

Apr 4, 2018

Organization subpart

Yes

Parent organization

ALERACARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Paul Vasiliauskas

Title

Sr VP Business Development

Phone

(602) 971-6950

Specialties & licenses 1

Addresses

Other names 1

• Vasco Infusion Doing business as

Locations

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1265938534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 163",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322240",
            "telephone_number": "602-971-6950",
            "fax_number": "602-404-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W INA RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857415501",
            "telephone_number": "602-346-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALAB PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERACARE HOLDINGS LLC",
        "enumeration_date": "2018-04-04",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "VASILIAUSKAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "602-971-6950"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasco Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vista Specialty Hospital of Tucson, LLC
• Vistacare USA, Inc.
• Visual Expression Optical, Inc.
• Visual Eyes LLC
• Vital Sight, PC
• Vitality Age Management
• Vitality Chiropractic PLLC
• Vitality Medical Group, PLLC
• Vitamindrip-Tucson LLC
• Vitavia LLC

• Infusion Therapy Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Infusion Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.