Organization Active NPI

Vitalcare LLC

  • Pharmacist
  • Palos Hills, IL
National Provider Identifier
1750279352
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
VITALCARE LLC
Practice address
8811 W 103Rd St
Palos Hills, IL 60465-1614
Phone
(708) 737-0935
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Lina Kishta, PHARMDNPI 1275145542
Title
Manager
Phone
(708) 737-0935

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

8811 W 103Rd St
Palos Hills, IL 60465-1614

Mailing address

8811 W 103Rd St
Palos Hills, IL 60465-1614
Phone (708) 737-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010003770 IL Part B Supplier - Clinic/Group Practice 4789181066 Receives reassigned benefits from 1 practitioner
Practice locations: Palos Hills, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1750279352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651614",
            "telephone_number": "708-737-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651614",
            "telephone_number": "708-737-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "KISHTA",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-737-0935",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.