Vici Health Sciences

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

VICI HEALTH SCIENCES

Doing business as

Vici Health Pharmacy

Practice address

6679 Santa Barbara Rd
Elkridge, MD 21075-5846

Phone

(410) 403-3939

Fax

(443) 445-6813

NPI assigned

Jan 29, 2025

Organization subpart

Yes

Parent organization

VICI HEALTH SCIENCESAs reported in NPPES

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

Authorized official

Name

Dr. Francesca Minale, PHD

Title

General Manager

Phone

(443) 445-6813

Specialties & licenses 1

Addresses

Other names 1

• Vici Health Pharmacy Doing business as

Part of

Vici Health Sciences

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nayri Khairalla, PHARMD

  • Pharmacist
  • Elkridge, MD
  • NPI 1184437667
  NPD

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1912710310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6679 SANTA BARBARA RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755846",
            "telephone_number": "410-403-3939",
            "fax_number": "443-445-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6679 SANTA BARBARA RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755846",
            "telephone_number": "410-403-3939",
            "fax_number": "443-445-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICI HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICI HEALTH SCIENCES",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "MINALE",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "443-445-6813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vici Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Justin Van Sickle, D.P.T.
• Diana Vanroon, CRNP
• Joyce B Vazzano, CRNP
• Vertebral Neurodiagnostic Associates LLC
• Vertebral Neuromonitoring Associates, LLC
• Sibree L Vickers
• Jesus Jr. M Viloria, OTR/L
• Vison Medical Supplies LLC
• Joseph Vojtko, DO
• Walgreen Co

• Compounding Pharmacy in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Compounding Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.