Vitamedmd LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

1376866 Issued in FL

Legal business name

VITAMEDMD LLC

Practice address

951 Broken Sound Pkwy NW Ste 320
Boca Raton, FL 33487-3531

Phone

(561) 961-1921

Fax

(561) 431-3389

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

THERAPEUTICSMD INC.As reported in NPPES

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

Authorized official

Name

Mr. Mitchell Krassan

Title

Chief Strategy Officer

Phone

(561) 961-1921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1356608772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY NW STE 320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873531",
            "telephone_number": "561-961-1921",
            "fax_number": "561-431-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY NW STE 320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873531",
            "telephone_number": "561-961-1921",
            "fax_number": "561-431-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAMEDMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTICSMD INC.",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "KRASSAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "561-961-1921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "1376866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.