Vitaldrip Infusion, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

VITALDRIP INFUSION, LLC

Practice address

6220 Westpark Dr Ste 111
Houston, TX 77057-7413

Phone

(713) 497-5510

NPI assigned

Jan 25, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mousa AbkhezrNPI 1588138549

Title

Pharmacist in Charge

Phone

(713) 497-5510

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mousa Abkhezr, PHARM.D

  • Pharmacist
  • Houston, TX
  • NPI 1588138549
  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1467214379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577413",
            "telephone_number": "713-497-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577413",
            "telephone_number": "713-497-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALDRIP INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "ABKHEZR",
        "authorized_official_first_name": "MOUSA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-497-5510"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domanique Vital, LMSW
• Karla Nadine Vital, MD
• Kourtney Sonjae Vital, LMSW
• Mark C. Vital, MD
• Tamisha E Vital
• Candida Vitale, M.D.
• Vitalis Care Partners Holdings, LLC (Vitalis Care Clinica Hispana)
• Vitality Clinic LLC
• Vitality Counseling and Wellness, LLC
• Vitality Health Services, Inc

• Home Infusion Therapy Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.