Organization Active NPI

Vitalmed Supply LLC

  • Dialysis Equipment & Supplies (DME)
  • Cheyenne, WY
National Provider Identifier
1780473066
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
VITALMED SUPPLY LLC
Practice address
1021 E Lincolnway Ste 8067
Cheyenne, WY 82001-4851
Phone
(307) 459-0562
NPI assigned
May 3, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Joel Scott
Title
Authorized Official
Phone
(307) 459-0562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X Primary

Addresses

Primary practice location

1021 E Lincolnway Ste 8067
Cheyenne, WY 82001-4851

Mailing address

1021 E Lincolnway Ste 8067
Cheyenne, WY 82001-4851
Phone (307) 459-0562

National Provider Directory

National Provider Directory

Locations

1021 E Lincolnway
Ste 8067
Cheyenne, WY 82001
Phone (307) 459-0562

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1780473066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E LINCOLNWAY STE 8067",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014851",
            "telephone_number": "307-459-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E LINCOLNWAY STE 8067",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014851",
            "telephone_number": "307-459-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALMED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "307-459-0562"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.