Organization Active NPI

Good Vibe Ventures LLC

  • Community/Retail Pharmacy
  • Metairie, LA
National Provider Identifier
1942829247
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOOD VIBE VENTURES LLC
Practice address
5004 W Esplanade Ave Ste a
Metairie, LA 70006-2551
Phone
(504) 390-7368
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Vincent Polizzi II, RPHNPI 1164731089
Title
Owner/Pharmacist
Phone
(504) 390-7368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5004 W Esplanade Ave Ste a
Metairie, LA 70006-2551

Mailing address

4912 Mayeaux St
Metairie, LA 70006-1129

Other names 1

  • Vinnie's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911001339 LA Part B Supplier - Pharmacy 6204254972 Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

5004 W Esplanade Ave
#A
Metairie, LA 70006
Phone (504) 390-7368

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1942829247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 MAYEAUX ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700061129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 W ESPLANADE AVE STE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062551",
            "telephone_number": "504-390-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VIBE VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "POLIZZI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "504-390-7368",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vinnie's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.