Healthcare Provider Details

I. General information

NPI: 1225979073
Provider Name (Legal Business Name): VITA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9280 W SUNSET RD STE 230
LAS VEGAS NV
89148-4861
US

IV. Provider business mailing address

9280 W SUNSET RD STE 230
LAS VEGAS NV
89148-4861
US

V. Phone/Fax

Practice location:
  • Phone: 702-462-2615
  • Fax: 702-205-2625
Mailing address:
  • Phone: 702-749-6263
  • Fax: 702-205-2625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAMY S MASSOUD
Title or Position: OWNER
Credential:
Phone: 702-749-6263