NPIMap

Organization Active NPI

Oakstead Infusion Pharmacy, LLC

Doing business as Oakstead Infusion Vital Care

  • Home Infusion Agency
  • Layton, UT
National Provider Identifier
1902263825
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
OAKSTEAD INFUSION PHARMACY, LLC
Doing business as
Oakstead Infusion Vital Care
Practice address
1492 W Antelope Dr
Suite 208
Layton, UT 84041-1139
Phone
(801) 825-3879
Fax
(801) 991-6924
NPI assigned
Jan 22, 2016
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Robert P Galeria
Title
Owner
Phone
(801) 825-3879

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X UT
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X UT
Pharmacy 333600000X UT
Home Infusion Therapy Pharmacy 3336H0001X UT

Addresses

Primary practice location

1492 W Antelope Dr
Suite 208
Layton, UT 84041-1139

Mailing address

1492 W Antelope Dr
Suite 208
Layton, UT 84041-1139
Phone (801) 825-3879

Other identifiers 1

IdentifierTypeStateIssuer
1902263825MedicaidUT

Other names 1

  • Oakstead Infusion Vital Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160924000503 UT DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5799072344 Practice locations: Layton, UT
O20161215000557 UT Part B Supplier - Pharmacy 5799072344 Practice locations: Layton, UT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1902263825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR",
            "address_2": "SUITE 208",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411139",
            "telephone_number": "801-825-3879",
            "fax_number": "801-991-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR",
            "address_2": "SUITE 208",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411139",
            "telephone_number": "801-825-3879",
            "fax_number": "801-991-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKSTEAD INFUSION PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "GALERIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-825-3879"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902263825",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakstead Infusion Vital Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakstead Infusion Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.