Vital Med LLC.
NPI 1790163095 · Community/Retail Pharmacy · Flushing, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vital Med LLC. is a Community/Retail Pharmacy organization in Flushing, NY (NPI 1790163095).
Provider details
- NPI number
- 1790163095
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Khanimov, President(718) 544-0700
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- Vital Med Pharmacy
Registry dates
- Enumerated
- 2015-05-07
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Frequently asked questions
- What is Vital Med LLC.'s NPI number?
- Vital Med LLC.'s National Provider Identifier (NPI) is 1790163095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vital Med LLC.?
- Vital Med LLC. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Vital Med LLC. located?
- Vital Med LLC.'s practice location on file with NPPES is 6942 Main St, Flushing, NY 11367-1723.
- What is Vital Med LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Vital Med LLC. is (718) 544-0700.
- Does Vital Med LLC. accept Medicare?
- Vital Med LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vital Med LLC.?
- The authorized official listed on Vital Med LLC.'s NPPES record is David Khanimov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vital Med LLC.'s NPI active?
- Yes — Vital Med LLC.'s NPI (1790163095) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.