VITALITY COMPOUNDING PHARMACY
NPI 1760756316
Pharmacy - Community/Retail Pharmacy in Bonita Springs, FL

NPI Status: Active since February 29, 2012

Contact Information

3501 HEALTH CENTER BLVD
#1200
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 992-7633
Fax: (239) 992-7896

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About VITALITY COMPOUNDING PHARMACY

This page provides the complete NPI Profile along with additional information for Vitality Compounding Pharmacy, a provider established in Bonita Springs, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1760756316 assigned on February 2012. The practitioner's primary taxonomy code is 3336C0003X with license number PH25954 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Vitality Compounding Pharmacy. The authorized official of this NPI record is David Rutland Rph (Owner)

NPI
1760756316
Provider Legal Name
ESTONNA MANAGEMENT LLC
Other Organization Name
VITALITY COMPOUNDING PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3501 HEALTH CENTER BLVD #1200 BONITA SPRINGS, FL 34135
Location Phone
(239) 992-7633
Location Fax
(239) 992-7896
Mailing Address
3501 HEALTH CENTER BLVD #1200 BONITA SPRINGS, FL 34135
Mailing Phone
(239) 992-7633
Mailing Fax
(239) 992-7896
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-29-2012
Last Update Date
01-21-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PH25954
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0004XSuppliers

Pharmacy
Compounding Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID RUTLAND RPH

Authorized Official Title
OWNER
Authorized Official Phone
(239) 992-7633

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2134226OTHER (01)PK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760756316
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201451232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 5 + 1 + 2 + 3 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1760756316 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BONITA COMMUNITY HEALTH CENTER INC

Clinic/Center

(Ambulatory Surgical)

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-1050

MR. ANGELO JOSEPH ZAPPALA DO

Radiology

(Diagnostic Radiology)

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-1050

BONITA COMMUNITY HEALTH CENTER INC

General Practice

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-1050

DR. PHYLLIS A NEEF MD

Internal Medicine

3501 HEALTH CENTER BLVD
SUITE 2310
BONITA SPRINGS, FL
ZIP 34135

(239) 939-0558

DIAGNOSTIC SERVICES INC

Clinical Medical Laboratory

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 561-8201

MARK E PETRITES MD PA

Surgery

3501 HEALTH CENTER BLVD
STE 2110
BONITA SPRINGS, FL
ZIP 34135

(239) 495-3990

KATHLEEN ANN DOBIES NURSE PRACTITIONER

Nurse Practitioner

(Family)

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-6142

MATTHEW P POWERS MD PA

Internal Medicine

3501 HEALTH CENTER BLVD
SUITE 2400
BONITA SPRINGS, FL
ZIP 34135

(239) 495-4995

21ST CENTURY ONCOLOGY LLC

Durable Medical Equipment & Medical Supplies

3501 HEALTH CENTER BLVD
SUITE 2145
BONITA SPRINGS, FL
ZIP 34135

(239) 689-8800

MR. STEPHAN LAROCQUE

Physical Therapist

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-1050

MARK E PETRITES MD

Surgery

3501 HEALTH CENTER BLVD
STE 2110
BONITA SPRINGS, FL
ZIP 34135

(239) 495-3990

PAIN & PHYSICAL MEDICINE CONSULTANTS LLC

Physical Medicine & Rehabilitation

(Pain Medicine)

3501 HEALTH CENTER BLVD
SUITE 1300
BONITA SPRINGS, FL
ZIP 34135

(239) 390-9778

MS. PAMELA KEARNEY CCCSLP

Speech-Language Pathologist

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-1050

JORGE L SERRA MD PA

Internal Medicine

3501 HEALTH CENTER BLVD
SUITE 2190
BONITA SPRINGS, FL
ZIP 34135

(239) 221-8475

JORGE R GUZMAN MD PA

Clinic/Center

(Primary Care)

3501 HEALTH CENTER BLVD
SUITE 2160
BONITA SPRINGS, FL
ZIP 34135

(239) 948-4470

ZAIDA CAMBA

Physical Therapist

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-6168

JOINT REPLACEMENT INSTITUTE LLC

Podiatrist

(Foot & Ankle Surgery)

3501 HEALTH CENTER BLVD
SUITE 2180
BONITA SPRINGS, FL
ZIP 34135

(239) 676-2663

CAROLINA LOIZA MM

Massage Therapist

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135

(239) 949-9000

NADIA KAZIM MD PA

Ophthalmology

3501 HEALTH CENTER BLVD
SUITE 2170
BONITA SPRINGS, FL
ZIP 34135

(239) 494-4900

PILOT HEALTHCARE P.L.

Clinic/Center

(Health Service)

3501 HEALTH CENTER BLVD
#2230
BONITA SPRINGS, FL
ZIP 34135

(239) 992-7822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760756316, enumerated as an "organization" on February 29, 2012.

The provider is located at 3501 HEALTH CENTER BLVD #1200 BONITA SPRINGS, FL 34135 and the phone number is (239) 992-7633.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.