NPIMap

Organization Active NPI

Vital Care Southwest VA, Inc

  • Specialty Pharmacy
  • Cedar Bluff, VA
National Provider Identifier
1811206915
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
0201004074 Issued in VA
Legal business name
VITAL CARE SOUTHWEST VA, INC
Practice address
305 Old Kentucky Turnpike
Cedar Bluff, VA 24609
Phone
(276) 964-0555
Fax
(276) 964-2999
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Theresa Morrow
Title
President
Phone
(276) 964-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 0201004074 VA Primary

Addresses

Primary practice location

305 Old Kentucky Turnpike
Cedar Bluff, VA 24609

Mailing address

PO Box 5047
Meridian, MS 39302
Phone (601) 482-7420

Other identifiers 1

IdentifierTypeStateIssuer
412247OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory
Tax ID family
Vital Care of Southwest Virginia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1811206915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39302",
            "telephone_number": "601-482-7420",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OLD KENTUCKY TURNPIKE",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "24609",
            "telephone_number": "276-964-0555",
            "fax_number": "276-964-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE SOUTHWEST VA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-964-0555"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "VA",
            "license": "0201004074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "412247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.