Vital Care Pharmacy of Norfolk, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VITAL CARE PHARMACY OF NORFOLK, INC.

Doing business as

Vital Care Pharmacy of Norfolk

Practice address

120 N 27TH St Ste 200
Norfolk, NE 68701-3286

Phone

(402) 371-3444

Fax

(402) 371-3566

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Eugene Deines, PHARMD, RPH

Title

Co-Owner

Phone

(402) 223-4779

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Vital Care Pharmacy of Norfolk Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northeast Nebraska LTC, LLC

  • Long Term Care Pharmacy
  • Norfolk, NE
  • NPI 1033502950
  NPPES parent name

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1790706471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 27TH ST STE 200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013286",
            "telephone_number": "402-371-3444",
            "fax_number": "402-371-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 27TH ST STE 200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013286",
            "telephone_number": "402-371-3444",
            "fax_number": "402-371-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE PHARMACY OF NORFOLK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-223-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68053858100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2816544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Pharmacy of Norfolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tonya M Voecks, APRN

• Pharmacy in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.