Organization Active NPI

Med Vault Inc

  • Long Term Care Pharmacy
  • Acworth, GA
National Provider Identifier
1487410247
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MED VAULT INC
Practice address
5060 Allatoona Gtwy
Acworth, GA 30101-4906
Phone
(470) 377-4462
Fax
(678) 744-2849
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Chinyere Nwegbo, PHARMDNPI 1669741112
Title
Ceo/Pic
Phone
(470) 377-4462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5060 Allatoona Gtwy
Acworth, GA 30101-4906

Mailing address

4621 Waters Edge LN NW
Acworth, GA 30101-6238
Phone (470) 377-4462

Other names 1

  • Medvault Compounding & Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med Vault Inc2 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.

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1487410247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 WATERS EDGE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016238",
            "telephone_number": "470-377-4462",
            "fax_number": "678-744-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 ALLATOONA GTWY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014906",
            "telephone_number": "470-377-4462",
            "fax_number": "678-744-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED VAULT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "NWEGBO",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "470-377-4462",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medvault Compounding & Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.