VITALIS VENTURES LLC – NPI #1144038035
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.

Health Care Provider Taxonomy Code for Pharmacy

VITALIS VENTURES LLC is a pharmacy located in PHOENIX, AZ. NPPES has assigned the NPI number 1144038035 to VITALIS VENTURES LLC on December 23, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Although multiple taxonomy codes were selected, this provider has not selected a primary taxonomy at this time.

The NPI profile was last updated on Jan 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITALIS VENTURES LLC below.

NPI Profile for
VITALIS VENTURES LLC

NPI Number
1144038035
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VITALIS VENTURES LLC
Primary location
3330 N 2ND ST STE 401
PHOENIX, AZ 85012-2371
Phone: (602) 606-9619 Fax:
Mailing address
PO BOX 2253
PHOENIX, AZ 85002-2253
Phone: Fax:
Organization Subpart
No
Authorized Official
CHRISTOPHER MENDIAS
MEMBER
Phone: (602) 606-9619
Updated
Certification Date
Jan 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy
261QH0100X
- Clinic/Center / Health Service
183500000X
- Pharmacist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.