Organization Active NPI

Vital Pharmacare

  • Specialty Pharmacy
  • Rochester Hills, MI
National Provider Identifier
1437591278
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
5301010041 Issued in MI
Legal business name
VITAL PHARMACARE
Practice address
1901 Star Batt Dr Ste 200
Rochester Hills, MI 48309-3712
Phone
(248) 299-1701
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Steve Camisi, PHARM.D.
Title
Director
Phone
(248) 805-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 5301010041 MI Primary

Addresses

Primary practice location

1901 Star Batt Dr Ste 200
Rochester Hills, MI 48309-3712

Mailing address

1901 Star Batt Dr Ste 200
Rochester Hills, MI 48309-3712
Phone (248) 299-1701

Other identifiers 1

IdentifierTypeStateIssuer
2377819MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Vital Pharmacare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1437591278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-299-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-299-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHARMACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "CAMISI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-805-1981",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "5301010041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377819",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.