Vital RX of Louisiana LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

VITAL RX OF LOUISIANA LLC

Practice address

6200 Leslie Lane
Lake Charles, LA 70615

Phone

(877) 264-8060

Fax

(888) 811-4564

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Troy Tate

Title

Director

Phone

(877) 264-8060

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1831839513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CAHABA VALLEY PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241146",
            "telephone_number": "866-209-5540",
            "fax_number": "800-878-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LESLIE LANE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70615",
            "telephone_number": "877-264-8060",
            "fax_number": "888-811-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL RX OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-264-8060"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mishayla Vincent, LPN
• Myra S Vincent
• Alexandria Viola, MA
• Visionworks Inc
• Vital RX of Louisiana LLC
• Amanda Evette Vital, BGS, M.A.T., ED.S.
• Pamela E. Vital
• Robert E Voight, DPT
• Volunteers of America Greater Baton Rouge
• Volunteers of America Greater Baton Rouge

• Specialty Pharmacy in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Specialty Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.