Organization
MEDICAL VILLAGE VITAL CARE, INC.
Active
Other names
Medical Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SUAREZ (PRESIDENT)
(828) 322-4775
Entity
Organization
Contact information
Practice address
3412 GRAYSTONE PL # B, CONOVER, NC 28613-8200
(828) 322-4775
(828) 267-0322
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6040
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6040
NC
333600000X
Pharmacy
6040
NC
3336C0003X
Community/Retail Pharmacy
Primary
6040
NC
3336H0001X
Home Infusion Therapy Pharmacy
6040
NC
3336L0003X
Long Term Care Pharmacy
6040
NC
3336M0002X
Mail Order Pharmacy
640
NC
3336S0011X
Specialty Pharmacy
6040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185983
—
NC
01
—
0456Z
BCBS HIT
NC
05
—
6800341
—
NC
05
—
7701785
—
NC
Enumeration date
07/15/2006
Last updated
09/11/2025
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