NEW VITALIS, LLC (NPI# 1801345111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801345111 |
Entity Type | Organization |
Organization Name | NEW VITALIS, LLC |
Practice Address |
4139 Cadillac Ct Suite 201 Louisville KY 40213-1578 |
Mailing Address |
9600 Brownsboro Rd Suite 200 Louisville KY 40241-3901 |
Practice Telephone | 5024250500 |
Enumeration Date | 2016-09-27 |
Last Update Date | 2016-09-27 |
Authorized Official Name | MR. TED ENNENBACH (CEO) |
Authorized Official Telephone | 5024250500 |
Is Organization Subpart | Y |
Parent Organization Name | BSM HOLDINGS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
P07786 | KY | Suppliers |
Street Address |
4139 CADILLAC CT SUITE 201 |
City | LOUISVILLE |
State | KY |
Zip Code | 40213-1578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093704082 | Gabor G Nemeth | Ophthalmology | 4139 Cadillac Ct, Suite 200, Louisville, KY 40213-1578 | 2005-10-21 |
1629528641 | Michael Jesse Kellihan | Pharmacist | 4139 Cadillac Ct, Suite 201, Louisville, KY 40213-1578 | 2016-10-13 |
1760607022 | Robert I Orendorf | Physical Therapist | 4139 Cadillac Ct, Louisville, KY 40213-1578 | 2007-04-13 |
1457457798 | Housecalls of America, Inc. | Case Management | 4139 Cadillac Ct, Suite 100, Louisville, KY 40213-1578 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
Find all providers in zip 40213 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013328368 | Dixie Pharmacy LLC | Pharmacy | 8442 Dixie Hwy Ste 100, Louisville, KY 40258-1140 | 2014-05-08 |
1154681286 | Transdermal Health Solutions LLC | Pharmacy | 2700 Stanley Gault Pkwy Ste 103, Louisville, KY 40223-5133 | 2012-05-23 |
1033484837 | Peachtree Pharmacy and Gifts Inc | Pharmacy | 802 Peachtree St, Louisville, GA 30434-1450 | 2012-03-13 |
1942334503 | Vp Pharmacy Partners LLC | Pharmacy | 3930 Dupont Cir Ste 1, Louisville, KY 40207-4806 | 2007-03-15 |
1225488745 | Dermatran Health Solutions | Pharmacy | 2700 Stanley Gault Pkwy Ste 103, Louisville, KY 40223-5133 | 2016-06-15 |
1407992951 | Jewish Hospital & St Marys Healthcare Inc | Pharmacy | 220 Abraham Flexner Way, Louisville, KY 40202-3826 | 2007-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376188516 | Danville Compounding Center | Pharmacy | 900 Hustonville Rd Ste 2, Danville, KY 40422-2137 | 2019-11-12 |
1336690122 | Grassroots Pharmacy Pllc | Pharmacy | 2304 Sir Barton Way Ste 195, Lexington, KY 40509-2284 | 2016-10-17 |
1235591165 | Tailor Made Compounding | Pharmacy | 200 Moore Dr, Nicholasville, KY 40356-8512 | 2016-03-21 |
1447663588 | The Apothecary P.s.c | Pharmacy | 116 Meridian Way Ste 2, Richmond, KY 40475-2876 | 2014-06-06 |
1609208396 | Cpharma Inc | Pharmacy | 965 Highway 127 N, Owenton, KY 40359-9302 | 2013-08-05 |
1134463649 | Rood and Riddle Veterinary Pharmacy, LLC | Pharmacy | 2150 Georgetown Rd, Building 25, Lexington, KY 40511-9072 | 2012-11-21 |
1790039956 | Radcliff Pharmacy LLC | Pharmacy | 800 W Lincoln Trail Blvd Ste 100, Radcliff, KY 40160-2671 | 2012-11-08 |
1528315918 | Ely Drugs of Bg Inc | Pharmacy | 4863 Scottsville Rd, Bowling Green, KY 42104-7909 | 2012-08-06 |
1396975223 | Rx Discount of Berea Pllc | Pharmacy | 102 Prince Royal Dr Ste 2, Berea, KY 40403-1468 | 2009-07-27 |
1447480702 | Broadway Clinic Pharmacy Inc | Pharmacy | 230 State Highway 2, Olive Hill, KY 41164-4513 | 2009-07-21 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40213 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.