Active NPI
Vital RX LLC
- Community/Retail Pharmacy
- Rockville, MD
National Provider Identifier
1992183495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VITAL RX LLC
- Practice address
- 15200 Shady Grove Rd
Suite 101
Rockville, MD 20850 - Phone
- (301) 527-0370
- Fax
- (301) 527-0372
- NPI assigned
- May 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Hetalben Patel
- Title
- Owner
- Phone
- (201) 668-7022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
15200 Shady Grove Rd
Suite 101
Rockville, MD 20850
Mailing address
15200 Shady Grove Rd
Suite 101
Rockville, MD 20850
Phone (301) 527-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 659825100 | Medicaid | MD |
Other names 1
- Allied Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1992183495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 SHADY GROVE RD",
"address_2": "SUITE 101",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-527-0370",
"fax_number": "301-527-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 SHADY GROVE RD",
"address_2": "SUITE 101",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-527-0370",
"fax_number": "301-527-0372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-15",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HETALBEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-668-7022",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "659825100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allied Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Allied Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.