Active NPI
Vibrant Care Pharmacy Inc
- Long Term Care Pharmacy
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 51969
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kalpesh Patel
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150345 | Other | PK |
Other names 1
- Vibrant Care Pharmacy Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Oakland, CA
- NPI 1801285796
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.
-
- Pharmacist
- Oakland, CA
- NPI 1114420866
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.