Vitaledge Healthcare LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VITALEDGE HEALTHCARE LLC

Doing business as

VitalEdge Infusions

Practice address

2584 Audubon PL
Biloxi, MS 39531-3707

Phone

(228) 860-2840

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Ryan O'Keefe, PHARMD.

Title

Clinical Pharmacist

Phone

(228) 424-1010

Specialties & licenses 1

Addresses

Other names 1

• VitalEdge Infusions Doing business as

Practitioners 1

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

• Emily Kate Lukens, N.P.

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1316484116
  NPD

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1720609977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 AUDUBON PL",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313707",
            "telephone_number": "228-860-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 AUDUBON PL",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313707",
            "telephone_number": "228-860-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALEDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "228-424-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitalEdge Infusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent J Kuluz (Economy Drugs)
• Vincent J Kuluz (Economy Drugs)
• Luzdivina Ana Vine, M.D.
• Virtual Care Remedy, PLLC
• Vital Wellnes Biloxi LLC
• Vitreoretinal Eye Center, PC
• Angela Jananie Viverette
• Leah Thi Vo-Babin
• Katryna Vo
• Phong Thanh Vu

• Infusion Therapy Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Infusion Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.