Medical Village Pharmacy
LBN: Medical Village Vital Care, Inc.
Medical Village Pharmacy is an health care organization with primary practice located at 3412 Graystone Pl # B , Conover NC 28613-8200. The organization recently has 8 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Medical Village Vital Care, Inc. can be contacted via phone (828) 322-4775, or through Suarez, James via phone (828) 322-4775.
Contact Information
Primary practice address
3412 Graystone Pl # B
Conover NC 28613-8200
Phone: (828) 322-4775
Fax: (828) 267-0322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 6040 | North Carolina |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 6040 | North Carolina |
| Suppliers / Pharmacy | 333600000X | 6040 | North Carolina |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 6040 | North Carolina |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 6040 | North Carolina |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 6040 | North Carolina |
| Suppliers / Mail Order Pharmacy | 3336M0002X | 640 | North Carolina |
| Suppliers / Specialty Pharmacy | 3336S0011X | 6040 | North Carolina |
Profile Details
| NPI number | 1376569939 |
|---|---|
| LBN Legal business name | Medical Village Vital Care, Inc. |
| DBA Doing business as | Medical Village Pharmacy |
| Authorized official | Suarez, James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376569939 | NPPES |
| North Carolina | MEDICAID | 0185983 | |
| North Carolina | MEDICAID | 6800341 | |
| North Carolina | Other | 0456Z | |
| North Carolina | MEDICAID | 7701785 |
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