Vita Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PW0319 Issued in MD

Legal business name

VITA PHARMACY LLC

Practice address

5617 Belair Rd
Baltimore, MD 21206-3619

Phone

(410) 325-1641

Fax

(410) 325-1642

NPI assigned

Oct 18, 2008

Organization subpart

No

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

Authorized official

Name

Igor Chernyakovsky

Title

Managing Memeber

Phone

(410) 325-1641

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vita Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1841442019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063619",
            "telephone_number": "410-325-1641",
            "fax_number": "410-325-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063619",
            "telephone_number": "410-325-1641",
            "fax_number": "410-325-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-18",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "CHERNYAKOVSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "410-325-1641"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PW0319",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2134207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vita Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fiona Vismans, D.D.S.
• Luca Navarro Vistoso
• Kala Visvanathan, M.B.B.S.
• Akila Viswanathan, MD MPH
• Bianca Vit-Ojiegbe
• Vitae Health Clinical Services Maryland LLC
• Vitae Health Medical Maryland LLC
• Vital Bloom Home Care LLC
• Vital Cure Primary Services LLC
• Vital Transit LLC

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.