VINTAGE PHARMACY LLC
VINTAGE PHARMACY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1386680908, based in Lady Lake, FL. The organization lists 7 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.
Getting there
The practice address on file is 104 S OLD DIXIE HWY, Lady Lake, FL 32159. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PH20910 | FL | Community/Retail Pharmacy primary |
This provider holds licence PH20910 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Community/Retail Pharmacy covers
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NUCC Health Care Provider Taxonomy, code 3336C0003X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | PH20910 | FL | primary |
| 3336C0004X | Compounding Pharmacy Compounding Pharmacy | — | — | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | — | — | |
| 3336H0001X | Home Infusion Therapy Pharmacy Home Infusion Therapy Pharmacy | — | — | |
| 3336S0011X | Specialty Pharmacy Specialty Pharmacy | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 333600000X | Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1386680908 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 21, 2006 |
| Last updated | Jan 9, 2014 |
| Status | Active |
| Practice address |
104 S OLD DIXIE HWY Lady Lake, FL 32159 (352) 751-6895 Fax (352) 751-6894 |
| Mailing address |
PO BOX 67 Lady Lake, FL 32158 |
| Other identifiers |
2003982
· PK 028308800 (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 8 | 6 | 6 | 8 | 0 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 7 | 6 | 3 | 8 | 0 | 9 | 0 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.