Vital RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114629 Issued in AL

Legal business name

VITAL RX

Practice address

237 Cahaba Valley Pkwy
Pelham, AL 35124-1146

Phone

(866) 209-5540

Fax

(800) 878-4160

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Michelle Maly

Title

Pharmacist in Charge/Director of PH

Phone

(866) 209-5540

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Vital Rx Doing business as

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1518318302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CAHABA VALLEY PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241146",
            "telephone_number": "866-209-5540",
            "fax_number": "800-878-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CAHABA VALLEY PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241146",
            "telephone_number": "866-209-5540",
            "fax_number": "800-878-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "MALY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/DIRECTOR OF PH",
        "authorized_official_telephone_number": "866-209-5540"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114629",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189993",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loy Vaughan
• Sarah Catherine Vaughan, PT, DPT
• Thera Virginia Vaughan, MS, OTR/L
• John Joseph Vaughn
• Vital RX
• Vital RX LLC
• Darryl Lynn Waid, D.M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Community/Retail Pharmacy in Pelham, AL
• Providers in Pelham, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.