Vital Health Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VITAL HEALTH PHARMACY LLC

Practice address

17950 Woodward Ave Ste 2
Detroit, MI 48203-2260

Phone

(519) 919-1234

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Houssein Hammoud, RPHNPI 1063510923

Title

Owner/Pharmacist

Phone

(519) 919-1234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Houssein Hammoud, R.P.H

  • Pharmacist
  • Lincoln Park, MI
  • NPI 1063510923
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1386492650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 WOODWARD AVE STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032260",
            "telephone_number": "519-919-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17950 WOODWARD AVE STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032260",
            "telephone_number": "519-919-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "HOUSSEIN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "519-919-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Cares
• Visiting Physicians Services
• Thomas J Vismara, MD
• Diane A Vista-Deck, MD
• Vital Health Management
• Vital Source Home Care Providers LLC
• Vital Source Ministry Enterprise
• Vitalcare Primary Care PLC
• Vitalcare Urgent Care PLC
• Angela Vitale

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.