TWIN STATES VITAL CARE, INC.
NPI 1467568337
Pharmacy - Specialty Pharmacy in Tabor City, NC

Active since August 22, 2006
218B S MAIN ST, TABOR CITY, NC 28463(910) 653-6169(910) 653-6078 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Twin States Vital Care, Inc. NPPES

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

TWIN STATES VITAL CARE, INC. (NPI 1467568337), doing business as Medicine Mart Vital Care, is a healthcare organization registered as a specialty pharmacy in Tabor City, North Carolina and active in the NPI registry since August 2006. The organization lists Sterling Grady Koonce, Manager, as its authorized official.

NPPES Registry Identity

NPI1467568337
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameTWIN STATES VITAL CARE, INC.
Location Address218B S MAIN STTabor City, NC 28463-1904
Mailing AddressPo Box 5047Meridian, MS 39302-5047 · (800) 447-4095 · Fax (601) 482-7490
Fax(910) 653-6078
Organization SubpartNo
Authorized OfficialSterling Grady KoonceManager · (910) 653-6169
Enumeration DateAugust 22, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1467568337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License Licensed in LA · 2627-IR
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 2627-IR (LA)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 2627-IR (LA)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 2627-IR (LA)
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 2627-IR (LA)
Also ListedPharmacyTaxonomy 333600000X · License 2627-IR (LA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 2627-IR (LA)
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 2627-IR (LA)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 2627-IR (LA)
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License 2627-IR (LA)
218B S MAIN ST, Tabor City, NC 28463

Other Names 1

Doing Business AsMedicine Mart Vital Care

Other Identifiers 5

Medicaid6800472NC
Medicaid7703531NC
Medicaid7N7828SC
Medicaid0245837NC
MedicaidDE2065SC

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 Twin States Vital Care, Inc.'s NPI number?

The NPI number for Twin States Vital Care, Inc. is 1467568337. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Medicine Mart Vital Care.

Where is Twin States Vital Care, Inc. located?

Twin States Vital Care, Inc. is located at 218B S Main St, Tabor City, NC 28463. The listed phone number is (910) 653-6169.

What is Twin States Vital Care, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

When was this NPI record last updated?

The NPPES record for Twin States Vital Care, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.