Organization Active NPI

Vibrant Care Pharmacy Inc

  • Long Term Care Pharmacy
  • Oakland, CA
National Provider Identifier
1730124959
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
51969 Issued in CA
Legal business name
VIBRANT CARE PHARMACY INC
Practice address
7400 Macarthur Blvd Ste B
Oakland, CA 94605-2939
Phone
(510) 638-9851
Fax
(510) 638-9852
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Kalpesh PatelNPI 1114420866
Title
Ceo
Phone
(510) 406-3089

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 51969 CA Primary

Addresses

Primary practice location

7400 Macarthur Blvd Ste B
Oakland, CA 94605-2939

Mailing address

7400 Macarthur Blvd Ste B
Oakland, CA 94605-2939
Phone (510) 638-9851

Other identifiers 1

IdentifierTypeStateIssuer
2150345OtherPK

Other names 1

  • Vibrant Care Pharmacy Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230109000675 CA DME Supplier - Pharmacy 3375913338 Practice locations: Oakland, CA
O20230504000855 CA Part B Supplier - Pharmacy 3375913338 Practice locations: Oakland, CA
O20231221001583 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3375913338 Practice locations: Oakland, CA

National Provider Directory

National Provider Directory
Tax ID family
Vibrant Care Pharmacy Inc2 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

7400 MacArthur Blvd
Ste B
Oakland, CA 94605
Phone (510) 406-3089

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1730124959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MACARTHUR BLVD STE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052939",
            "telephone_number": "510-638-9851",
            "fax_number": "510-638-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MACARTHUR BLVD STE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052939",
            "telephone_number": "510-638-9851",
            "fax_number": "510-638-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-406-3089"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "51969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Care Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.