Active NPI
Agevital Pharmacy, LLC
- Compounding Pharmacy
- Sarasota, FL
National Provider Identifier
1730428897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- AGEVITAL PHARMACY, LLC
- Practice address
- 16 S Blvd of the Presidents
Sarasota, FL 34236-1424 - Phone
- (941) 928-8066
- NPI assigned
- Feb 10, 2013
- 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
- Jenny P. Wilkins
- Title
- Proprietor/General Manager
- Phone
- (941) 928-8066
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | Primary |
Addresses
Primary practice location
16 S Blvd of the Presidents
Sarasota, FL 34236-1424
Mailing address
16 S Blvd of the Presidents
Sarasota, FL 34236-1424
Phone (941) 928-8066
National Provider Directory
National Provider Directory- Tax ID family
- Agevital Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
16 S Blvd of the Presidents
Sarasota, FL 34236
Phone (941) 928-8066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360454400000",
"number": "1730428897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 S BLVD OF THE PRESIDENTS",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342361424",
"telephone_number": "941-928-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 S BLVD OF THE PRESIDENTS",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342361424",
"telephone_number": "941-928-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGEVITAL PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-10",
"last_updated": "2013-02-10",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PROPRIETOR/GENERAL MANAGER",
"authorized_official_telephone_number": "941-928-8066"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
- Dawn Affeldt, LMHC
- Affinity Home Care Agency, Inc. (Affinity Home Care Agency in)
- Affordable Dentures - Sarasota, P.a.
- Motaz Agabani, MD
- Samir Agarwal, M.D.
- Timothy A Agew
- Aging in Place of FL LLC (Assisting Hands Health Services Sarasota)
- Udayan Agrawal, MD
- Yoadys Aguero Aguila
- Margarita Antonia Aguilar-Mistry, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.