Vitalcore Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VITALCORE HEALTH LLC

Practice address

2303 Dawson Rd Ste 102D
Albany, GA 31707-2715

Phone

(229) 380-3911

NPI assigned

Jun 12, 2026

Organization subpart

No

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

Authorized official

Name

Jay Ives

Title

Organizer

Phone

(229) 380-3911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1720912744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE 102D",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE 102D",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715",
            "telephone_number": "229-380-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCORE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "IVES",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "229-380-3911"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Albany, GA
• Providers in Albany, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.