VINTAGE PHARMACY
NPI 1386680908
Pharmacy - Community/Retail Pharmacy in Lady Lake, FL

Q: What is Vintage Pharmacy LLC's NPI number?

The NPI number for Vintage Pharmacy LLC is 1386680908. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Vintage Pharmacy.

Q: What is Vintage Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since June 21, 2006

104 S OLD DIXIE HWY, LADY LAKE, FL 32159(352) 751-6895(352) 751-6894 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vintage Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINTAGE PHARMACY (NPI 1386680908) is a healthcare organization registered as a community/retail pharmacy in Lady Lake, Florida and active in the NPI registry since June 2006. The organization lists Patti Harrison, Owner And President, as its authorized official.

NPPES Registry Identity

NPI1386680908

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameVINTAGE PHARMACY LLC

Location Address104 S OLD DIXIE HWYLady Lake, FL 32159-4349

Mailing AddressPo Box 67Lady Lake, FL 32158-0067 · (352) 751-6895 · Fax (352) 751-6894

Phone(352) 751-6895

Fax(352) 751-6894

Organization SubpartNo

Authorized OfficialPatti HarrisonOwner And President · (352) 751-6895

Enumeration DateJune 21, 2006

Last NPPES UpdateJanuary 9, 2014

✔ NPI 1386680908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in FL · PH20910

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

104 S OLD DIXIE HWY, Lady Lake, FL 32159

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Other Names 1

Doing Business AsVintage Pharmacy

Other Identifiers 3

Medicaid028308800FL

Medicare NSC5410170001

Other2003982Pk

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vintage Pharmacy LLC's NPI number?

The NPI number for Vintage Pharmacy LLC is 1386680908. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Vintage Pharmacy.

Where is Vintage Pharmacy LLC located?

Vintage Pharmacy LLC is located at 104 S Old Dixie Hwy, Lady Lake, FL 32159. The listed phone number is (352) 751-6895.

What is Vintage Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Vintage Pharmacy LLC was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.