NEW VITALIS, LLC
NPI 1801345111
Pharmacy - Compounding Pharmacy in Louisville, KY

Active since September 27, 2016
4139 CADILLAC CT, SUITE 201, LOUISVILLE, KY 40213(502) 425-0500 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About New Vitalis, Llc NPPES

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

NEW VITALIS, LLC (NPI 1801345111) is a healthcare organization registered as a compounding pharmacy in Louisville, Kentucky and active in the NPI registry since September 2016. The organization lists Ted Ennenbach, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801345111
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameNEW VITALIS, LLC
Location Address4139 CADILLAC CT, SUITE 201Louisville, KY 40213-1578
Mailing Address9600 Brownsboro Rd, Suite 200Louisville, KY 40241-3901
Organization SubpartYesParent: Bsm Holdings, Llc
Authorized OfficialTed EnnenbachCeo · (502) 425-0500
Enumeration DateSeptember 27, 2016
NPI 1801345111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in KY · P07786
Definition

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.

4139 CADILLAC CT, Louisville, KY 40213

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4139 CADILLAC CT, SUITE 200
LOUISVILLE, KY 40213
Home Health
4139 CADILLAC CT, SUITE 100
LOUISVILLE, KY 40213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4139 CADILLAC CT, SUITE 201
LOUISVILLE, KY 40213
Physical Therapist
4139 CADILLAC CT
LOUISVILLE, KY 40213

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 New Vitalis, LLC's NPI number?

The NPI number for New Vitalis, LLC is 1801345111. It was assigned to this organization in the NPPES registry on September 27, 2016.

Where is New Vitalis, LLC located?

New Vitalis, LLC is located at 4139 Cadillac Ct Suite 201, Louisville, KY 40213. The listed phone number is (502) 425-0500.

What is New Vitalis, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does New Vitalis, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list New Vitalis, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New Vitalis, LLC was last updated on September 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.