Organization Active NPI

Vciswv, LLC

  • Home Infusion Therapy Pharmacy
  • Glendale, AZ
National Provider Identifier
1639970478
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
VCISWV, LLC
Doing business as
Vital Care Infusion Services of Glendale
Practice address
5422 W Thunderbird Rd Ste 18
Glendale, AZ 85306-4717
Phone
(602) 848-2202
Fax
(602) 926-2500
NPI assigned
Mar 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Benjamin Krawetz
Title
Owner
Phone
(602) 848-2202

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

5422 W Thunderbird Rd Ste 18
Glendale, AZ 85306-4717

Mailing address

5422 W Thunderbird Rd Ste 18
Glendale, AZ 85306-4717
Phone (602) 848-2202

Other names 1

  • Vital Care Infusion Services of Glendale Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210002724 AZ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6901385822 Practice locations: Glendale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vital Care Infusion Services of Gle5422 W Thunderbird Rd, Glendale, AZ 85306-4717(602) 848-2202 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 9, 2026

National Provider Directory

National Provider Directory

Locations

5422 W Thunderbird Rd
Ste 18
Glendale, AZ 85306
Phone (602) 848-2202

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1639970478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD STE 18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064717",
            "telephone_number": "602-848-2202",
            "fax_number": "602-926-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD STE 18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064717",
            "telephone_number": "602-848-2202",
            "fax_number": "602-926-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCISWV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "KRAWETZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-848-2202"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Infusion Services of Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.