Nutravita, LLC
NPI 1073839320ActiveOrganization· Pharmacy, Institutional Pharmacy· Conyers, GA
Pharmacy, Institutional Pharmacy in Conyers, Georgia, registered in NPPES in April 2010. The authorized official on file is Nikhil M. Patel, RPH, President. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1073839320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2010 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | PHRE009650 | GA |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | PHRE009650 | GA |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (GA) |
|---|