Vigo Health Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006425A Issued in IN

Legal business name

VIGO HEALTH PHARMACY INC

Doing business as

Vigo Health Pharmacy

Practice address

1635 N 3Rd St
Terre Haute, IN 47804-4044

Phone

(812) 231-1040

Fax

(812) 231-1044

NPI assigned

Nov 29, 2013

Last updated

Nov 22, 2016By 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

Alpesh Patel, B. PHARMNPI 1679963995

Title

President, Pic

Phone

(812) 240-7405

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Vigo Health Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Tax ID family

Vigo Health Pharmacy2 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.

• Vigo Health Pharmacy Inc

  dba Vigo Health Pharmacy

  • Long Term Care Pharmacy
  • Terre Haute, IN
  • NPI 1740011808
  NPD tax ID

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.

• Alpesh Patel, B. PHARM

  • Pharmacist
  • Terre Haute, IN
  • NPI 1679963995
  NPD Authorized official

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

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1508297615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044044",
            "telephone_number": "812-231-1040",
            "fax_number": "812-231-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044044",
            "telephone_number": "812-231-1040",
            "fax_number": "812-231-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGO HEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-29",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "PRESIDENT, PIC",
        "authorized_official_telephone_number": "812-240-7405",
        "authorized_official_credential": "B. PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006425A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201273850A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vigo Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenzie K Vickers
• Vigo County
• Vigo County Health Department
• Vigo County Homes for Children
• Vigo County School Corporation
• Vigo Health Pharmacy Inc (Vigo Health Pharmacy)
• Edward O. Villarreal, D.D.S.
• Haylee Dianna Vines-Justice, AGACNP
• Vision Learning Center of Terre Haute
• Vision Mart Eye Center, Inc.

• Community/Retail Pharmacy in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.