Organization Active NPI

Vital RX LLC

  • Community/Retail Pharmacy
  • Rockville, MD
National Provider Identifier
1992183495
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 12, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
659825100MedicaidMD

Other names 1

  • Allied Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.