Vitality RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VITALITY RX

Doing business as

Vitality Pharmacy

Practice address

210 Blue Ravine Rd Ste 170
Folsom, CA 95630-4796

Phone

(916) 293-8687

Fax

(916) 293-8637

NPI assigned

Nov 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nhatduy Ton, PHARM.D.NPI 1447537584

Title

Owner

Phone

(916) 293-8687

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vitality Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Vitality 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.

• Vitality RX

  • Long Term Care Pharmacy
  • Folsom, CA
  • NPI 1699319517
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nhatduy That Ton, PHARM.D

  • Pharmacist
  • Folsom, CA
  • NPI 1447537584
  NPD Authorized official

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1649782541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BLUE RAVINE RD STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304796",
            "telephone_number": "916-293-8687",
            "fax_number": "916-293-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLUE RAVINE RD STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304796",
            "telephone_number": "916-293-8687",
            "fax_number": "916-293-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "TON",
        "authorized_official_first_name": "NHATDUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-293-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649782541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela P Visathep, FNP
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• Vivo Spectrum Laboratory
• Christine Vo

• Community/Retail Pharmacy in Folsom, CA
• Providers in Folsom, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.