VITALITY RX NPI 1649782541

NPI Information

  • NPI: 1649782541
  • Provider Name: VITALITY RX
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: VITALITY PHARMACY
  • Address: 210 BLUE RAVINE RD STE 170
    FOLSOM, CA
    ZIP 95630
  • Phone: (916) 293-8687

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NPI Details

VITALITY RX is a community/retail pharmacy pharmacy in Folsom, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. VITALITY RX NPI is 1649782541. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitality Pharmacy.

The provider's business location address is:

210 BLUE RAVINE RD STE 170
FOLSOM, CA
ZIP 95630-796
Phone: (916) 293-8687
Fax: (916) 293-8637

The provider's authorized official is Nhatduy Ton .
The authorized official title is Owner and has the following contact phone number (916) 293-8687.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50 mcg/.5 mlbst (HCPCS:0094A)

The enumeration date for this NPI number is 11/1/2017 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11649782541MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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