Organization Active NPI

Vital Pharmacy LLC

Doing business as Vital Pharmacy

  • Community/Retail Pharmacy
  • Orange Park, FL
National Provider Identifier
1457159097
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VITAL PHARMACY LLC
Doing business as
Vital Pharmacy
Practice address
997 Blanding Blvd Ste 5
Orange Park, FL 32065-6790
Phone
(856) 725-6905
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mrs. Khushbu Bhalodia
Title
Owner
Phone
(856) 725-6905

Specialties & licenses 1

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

Addresses

Primary practice location

997 Blanding Blvd Ste 5
Orange Park, FL 32065-6790

Mailing address

39 Navigators Rd
Saint Johns, FL 32259-6323
Phone (856) 725-6905

Other names 1

  • VITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

997 Blanding Blvd
Ste 5
Orange Park, FL 32065
Phone (856) 725-6905

Practitioners & affiliated clinicians

Practitioners 1

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1457159097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NAVIGATORS RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596323",
            "telephone_number": "856-725-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 BLANDING BLVD STE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656790",
            "telephone_number": "856-725-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "BHALODIA",
        "authorized_official_first_name": "KHUSHBU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-725-6905",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.