Organization
PHARMACEUTICAL SPECIALTIES LLC
Active
Other names
VytlOne Specialty Pharmacy, Maxor Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL WRIGHT (PRESIDENT, PHARMACY SERVICES)
(806) 242-7782
Entity
Organization
Contact information
Practice address
150 CLEVELAND RD STE B, BOGART, GA 30622-1701
(800) 818-6486
(706) 621-7263
Mailing address
PO BOX 1353, AMARILLO, TX 79105-1353
(806) 242-7782
(706) 621-7263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
054020194
IL
3336C0003X
Community/Retail Pharmacy
117770
AK
3336C0003X
Community/Retail Pharmacy
22-101589
KS
3336C0003X
Community/Retail Pharmacy
44091MS
ID
3336C0003X
Community/Retail Pharmacy
64001645A
IN
3336C0003X
Community/Retail Pharmacy
GA1819
KY
3336C0003X
Community/Retail Pharmacy
OSP.0006308
CO
3336C0003X
Community/Retail Pharmacy
PHHH000053
GA
3336C0003X
Community/Retail Pharmacy
PMP1375
HI
3336C0003X
Community/Retail Pharmacy
Y007057
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710542E
—
GA
01
—
2015157
PK
—
05
—
VA010169101
—
VA
Enumeration date
08/25/2006
Last updated
03/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us