NPIMap

Organization Active NPI

Vitality RX

  • Long Term Care Pharmacy
  • Folsom, CA
National Provider Identifier
1699319517
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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) 293-8687
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Nhatduy Ton, PHARM.DNPI 1447537584
Title
Ceo/Pic
Phone
(916) 293-8687

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

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

Mailing address

210 Blue Ravine Rd Ste 170
Folsom, CA 95630-4796
Phone (916) 293-8687

Other identifiers 1

IdentifierTypeStateIssuer
1649782541MedicaidCA

Other names 1

  • Vitality Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

Locations

210 Blue Ravine Rd
Ste 170
Folsom, CA 95630
Phone (916) 293-8687

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1699319517",
    "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": "916-293-8687"
        },
        {
            "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": "916-293-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "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": "CEO/PIC",
        "authorized_official_telephone_number": "916-293-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care 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"
        },
        {
            "organization_name": "Vitality Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.