Vintage Pharmacy LLC
NPI 1386680908 · Community/Retail Pharmacy · Lady Lake, FL
Vintage Pharmacy LLC is a Community/Retail Pharmacy organization in Lady Lake, FL (NPI 1386680908).
Provider details
- NPI number
- 1386680908
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Patti Harrison, Owner and President(352) 751-6895
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vintage Pharmacy
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2014-01-09
Frequently asked questions
- What is Vintage Pharmacy LLC's NPI number?
- Vintage Pharmacy LLC's National Provider Identifier (NPI) is 1386680908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Pharmacy LLC?
- Vintage Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Vintage Pharmacy LLC located?
- Vintage Pharmacy LLC's practice location on file with NPPES is 104 S Old Dixie Hwy, Lady Lake, FL 32159-4349.
- What is Vintage Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Pharmacy LLC is (352) 751-6895.
- Who is the authorized official for Vintage Pharmacy LLC?
- The authorized official listed on Vintage Pharmacy LLC's NPPES record is Patti Harrison, Owner and President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vintage Pharmacy LLC's NPI active?
- Yes — Vintage Pharmacy LLC's NPI (1386680908) is active in the NPPES registry as of the last update on 2014-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.