# VITACARE PHARMACY LTC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VITACARE PHARMACY INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639039704
- **Legal business name:** VITACARE PHARMACY INC.
- **Authorized official:** DR. JOHN ASSAN BANAHENE PHARMD (OWNER)
- **Authorized official phone:** (614) 333-0168

## Contact information

- **Practice address:** 10501 BLACKLICK EASTERN RD STE 800, PICKERINGTON, OH 43147-7878
- **Practice address phone:** (614) 333-0168
- **Practice address fax:** (614) 986-7570
- **Mailing address:** 10501 BLACKLICK EASTERN RD STE 800, PICKERINGTON, OH 43147-7878
- **Mailing address phone:** (614) 333-0168
- **Mailing address fax:** (614) 986-7570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2025
- **Last updated:** 11/12/2025