Organization Active NPI

Vantagerx Dispensing Services, LLC

  • Non-Pharmacy Dispensing Site
  • Roseville, CA
National Provider Identifier
1982889812
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
VANTAGERX DISPENSING SERVICES, LLC
Practice address
2200 Douglas Blvd Ste 100a
Roseville, CA 95661-3862
Phone
(877) 321-6337
Fax
(877) 321-6337
NPI assigned
Jan 9, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. Joseph Morrell
Title
Director of Operations
Phone
(916) 807-4113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2200 Douglas Blvd Ste 100a
Roseville, CA 95661-3862

Mailing address

PO Box 304
Roseville, CA 95661-0304
Phone (877) 321-6337

National Provider Directory

National Provider Directory

Locations

2200 Douglas Blvd
Ste 100A
Roseville, CA 95661
Phone (877) 321-6337

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1982889812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956610304",
            "telephone_number": "877-321-6337",
            "fax_number": "877-321-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DOUGLAS BLVD STE 100A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613862",
            "telephone_number": "877-321-6337",
            "fax_number": "877-321-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGERX DISPENSING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "916-807-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.