Vitalab Pharmacy Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

Y004706 Issued in AZ

Legal business name

VITALAB PHARMACY INC

Doing business as

Vasco Rx

Practice address

4045 E Bell Rd
Suite 163
Phoenix, AZ 85032-2236

Phone

(602) 971-6950

Fax

(602) 404-2504

NPI assigned

Oct 17, 2016

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ALERACARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Paul Vincent Vasiliauskas

Title

Sr.V.P. Business Development

Phone

(602) 971-6950

Specialties & licenses 1

Addresses

Other names 1

• Vasco Rx Doing business as

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1598216467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "SUITE 163",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-971-6950",
            "fax_number": "602-404-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "SUITE 163",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "602-971-6950",
            "fax_number": "602-404-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALAB PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERACARE HOLDINGS LLC",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "VASILIAUSKAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "SR.V.P. BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "602-971-6950"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AZ",
            "license": "Y004706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasco Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vasco Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vital Healthcare Specialists LLC (Vital Healthcare Specialists)
• Vital Peak Medical Supplies LLC
• Vital Signs Anesthesia, Inc
• Vital Wellness Center LLC
• Vitalab Pharmacy Inc (Vasco Infusion)
• Vitalab Pharmacy Inc (Vasco Rx)
• Vitalant
• Nicole Vitale
• Vitalharmony Health Center PLLC
• Vitalis Medical LLC

• Mail Order Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mail Order Pharmacy in Arizona

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