NPIMap

Organization Active NPI

Vitalstat, Inc.

  • Mail Order Pharmacy
  • Albertville, AL
National Provider Identifier
1912910100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
111152 Issued in AL
Legal business name
VITALSTAT, INC.
Practice address
103 Sand Mountain Dr NE
Albertville, AL 35950-1709
Phone
(256) 878-2111
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
T Bishop
Title
Owner
Phone
(256) 878-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 111152 AL Primary

Addresses

Primary practice location

103 Sand Mountain Dr NE
Albertville, AL 35950-1709

Mailing address

PO Box 5047
Meridian, MS 39302-5047

Other identifiers 1

IdentifierTypeStateIssuer
510-56579OtherALBCBS, NON-PAR

Other names 1

  • Vital Care of North Alabama Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vital Care of North Alabama9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912910100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SAND MOUNTAIN DR NE",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501709",
            "telephone_number": "256-878-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALSTAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-878-2111"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AL",
            "license": "111152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, NON-PAR",
            "identifier": "510-56579",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of North Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.