Organization Active NPI

Vitalab Pharmacy Inc

  • Home Infusion Agency
  • Phoenix, AZ
National Provider Identifier
1740314244
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
VITALAB PHARMACY INC
Practice address
4045 E Bell Rd
Ste 163
Phoenix, AZ 85032-2236
Phone
(602) 971-6950
Fax
(602) 404-2504
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
ALERACARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kristine Lowe, PHARMD
Title
Pic
Phone
(602) 971-6950

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y004706 AZ
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4045 E Bell Rd
Ste 163
Phoenix, AZ 85032-2236

Mailing address

4045 E Bell Rd
Ste 163
Phoenix, AZ 85032-2240
Phone (602) 971-6950

Other identifiers 2

IdentifierTypeStateIssuer
302331MedicaidAZ
1988584OtherPK

Other names 1

  • Vasco Rx Doing business as

National Provider Directory

National Provider Directory

Locations

4045 E Bell Rd
Ste 163
Phoenix, AZ 85032
Phone (602) 971-6950

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1740314244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "STE 163",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322240",
            "telephone_number": "602-971-6950",
            "fax_number": "602-404-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "STE 163",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "602-971-6950",
            "fax_number": "602-404-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALAB PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERACARE HOLDINGS LLC",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-19",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "602-971-6950",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y004706",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302331",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasco Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.