Vitalloop LLC
Pharmacy, Community/Retail Pharmacy in Phoenix, AZ. Organization (NPI-2).
NPI number1104722248
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1104722248
- Entity type
- Organization (NPI-2)
- Legal business name
- Vitalloop LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2026
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
4539 N 22nd St # 7739Phoenix, AZ 85016-4639
Phone 872-205-5818
Mailing address
4539 N 22nd St # 7739Phoenix, AZ 85016-4639
Phone 872-205-5818
Authorized official
Brenda Sue Wimfrey
Owner
8722055818
Is something wrong?
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