Organization Active NPI

Vitacare Pharmacy Inc.

Doing business as Vitacare Pharmacy

  • Community/Retail Pharmacy
  • Pickerington, OH
National Provider Identifier
1528617099
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VITACARE PHARMACY INC.
Doing business as
Vitacare Pharmacy
Practice address
10501 Blacklick Eastern Rd Ste 800-1
Pickerington, OH 43147-7871
Phone
(614) 333-0168
NPI assigned
Sep 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
John Assan Banahene, PHARMDNPI 1780128363
Title
Manager
Phone
(917) 705-6825

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 1

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

Addresses

Primary practice location

10501 Blacklick Eastern Rd Ste 800-1
Pickerington, OH 43147-7871

Mailing address

10501 Blacklick Eastern Rd Ste 800
Pickerington, OH 43147-7878
Phone (614) 333-0168

Other names 1

  • VITACARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

10501 Blacklick Eastern Rd
Ste 8001
Pickerington, OH 43147
Phone (614) 333-0168

10501 Blacklick Eastern Rd
Ste 800
Pickerington, OH 43147
Phone (614) 333-0168

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1528617099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 BLACKLICK EASTERN RD STE 800",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477878",
            "telephone_number": "614-333-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 BLACKLICK EASTERN RD STE 800-1",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477871",
            "telephone_number": "614-333-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITACARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-08",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "BANAHENE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ASSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-705-6825",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITACARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.