Organization Active NPI

Vital Pharmacies Inc.

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1295801389
Registry record updated Aug 22, 2020
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
VITAL PHARMACIES INC.
Practice address
14710 45TH Ave
Flushing, NY 11355-1708
Phone
(718) 460-7777
Fax
(718) 460-8778
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Ulfat Bibi
Title
Owner
Phone
(718) 460-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

14710 45TH Ave
Flushing, NY 11355-1708

Mailing address

14710 45TH Ave
Flushing, NY 11355-1708
Phone (718) 460-7777

Other identifiers 1

IdentifierTypeStateIssuer
02075309MedicaidNY

Other names 1

  • vitaldrugs inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

14710 45th Ave
Flushing, NY 11355
Phone (718) 460-7777

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295801389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551708",
            "telephone_number": "718-460-7777",
            "fax_number": "718-460-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551708",
            "telephone_number": "718-460-7777",
            "fax_number": "718-460-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHARMACIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIBI",
        "authorized_official_first_name": "ULFAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-460-7777",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02075309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vitaldrugs inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.