Vitality Plus PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

9400162 Issued in NC

Legal business name

VITALITY PLUS PA

Doing business as

Vitality Center of Charlotte

Practice address

300 Billingsley Rd
Suite 204
Charlotte, NC 28211-1075

Phone

(704) 334-6488

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Trombley

Title

Dispensing Physician

Phone

(704) 334-6488

Specialties & licenses 1

Addresses

Other names 1

• Vitality Center of Charlotte Doing business as

Locations

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1750789301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111075",
            "telephone_number": "704-334-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111075",
            "telephone_number": "704-334-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PLUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "TROMBLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DISPENSING PHYSICIAN",
        "authorized_official_telephone_number": "704-334-6488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "9400162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Center of Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Rose Vitale, OTD
• Vitalife Services Inc
• Vitality Chiropractic & Acupuncture, PLLC
• Vitality Consultants LLC
• Vitality Lab Services LLC
• Elizabeth Vitiello
• Jamie Lynn Vittum, AU D., CCC-A
• Patricia Wellons Vivian, PHD
• Vizion One
• Vizion One Inc

• Non-Pharmacy Dispensing Site in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.