NPIMap

Organization Active NPI

Vital Pharmacare LLC

  • Community/Retail Pharmacy
  • Rochester Hills, MI
National Provider Identifier
1902144462
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010041 Issued in MI
Legal business name
VITAL PHARMACARE LLC
Practice address
1901 Star Batt Dr
Suite 200
Rochester Hills, MI 48309-3712
Phone
(248) 299-1701
Fax
(248) 299-1702
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

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

Authorized official

Name
Dr. Steve S Camisi, PHARM.D.
Title
Director of Pharmacy Services
Phone
(248) 299-1701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010041 MI Primary
Specialty Pharmacy 3336S0011X MI

Addresses

Primary practice location

1901 Star Batt Dr
Suite 200
Rochester Hills, MI 48309-3712

Mailing address

1901 Star Batt Dr
Suite 200
Rochester Hills, MI 48309-3712
Phone (248) 299-1701

Other identifiers 1

IdentifierTypeStateIssuer
1902144462MedicaidMI

Other names 1

  • Vital Pharmacare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vital Pharmacare2 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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375488000000",
    "number": "1902144462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-299-1701",
            "fax_number": "248-299-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-299-1701",
            "fax_number": "248-299-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHARMACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-08-03",
        "status": "A",
        "authorized_official_last_name": "CAMISI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "248-299-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010041",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902144462",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Pharmacare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.