Organization Active NPI

Vita Pharmacy LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1417432170
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VITA PHARMACY LLC
Practice address
2950 Thousand Oaks Dr Ste 25
San Antonio, TX 78247-3347
Phone
(210) 424-0025
Fax
(210) 424-0026
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Ronda Wenzel
Title
Pharmacist
Phone
(210) 363-3106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2950 Thousand Oaks Dr Ste 25
San Antonio, TX 78247-3347

Mailing address

2950 Thousand Oaks Dr Ste 25
San Antonio, TX 78247-3347
Phone (210) 424-0025

National Provider Directory

National Provider Directory

Locations

2950 Thousand Oaks Dr
Ste 25
San Antonio, TX 78247
Phone (210) 424-0025

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1417432170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 THOUSAND OAKS DR STE 25",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473347",
            "telephone_number": "210-424-0025",
            "fax_number": "210-424-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 THOUSAND OAKS DR STE 25",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473347",
            "telephone_number": "210-424-0025",
            "fax_number": "210-424-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "210-363-3106"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.