OrganizationActive
Vital Life Pharmacy
NPI 1699186353 · Community/Retail Pharmacy · Boca Raton, FL
Vital Life Pharmacy is a Community/Retail Pharmacy organization in Boca Raton, FL (NPI 1699186353).
Provider details
- NPI number
- 1699186353
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nicole Balarezo, Owner(954) 871-7633
- License
- PH28149 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
6063 Sw 18th St
Bay 112
Boca Raton, FL 33433-7118
Phone: (561) 245-7082
Street-level locationGet directions
Mailing address
6063 Sw 18th St
Boca Raton, FL 33433-7118
Registry dates
- Enumerated
- 2014-05-15
- Last updated
- 2014-05-15
Frequently asked questions
- What is Vital Life Pharmacy's NPI number?
- Vital Life Pharmacy's National Provider Identifier (NPI) is 1699186353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vital Life Pharmacy?
- Vital Life Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Vital Life Pharmacy located?
- Vital Life Pharmacy's practice location on file with NPPES is 6063 Sw 18th St, Boca Raton, FL 33433-7118.
- What is Vital Life Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Vital Life Pharmacy is (561) 245-7082.
- Who is the authorized official for Vital Life Pharmacy?
- The authorized official listed on Vital Life Pharmacy's NPPES record is Nicole Balarezo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vital Life Pharmacy's NPI active?
- Yes — Vital Life Pharmacy's NPI (1699186353) is active in the NPPES registry as of the last update on 2014-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.