Agevital Pharmacy, LLC
NPI 1730428897ActiveOrganization· Pharmacy, Compounding Pharmacy· Sarasota, FL
Pharmacy, Compounding Pharmacy in Sarasota, Florida, registered in NPPES in February 2013. The authorized official on file is Jenny P. Wilkins, Proprietor/General Manager.
Overview
| NPI | 1730428897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2013 |
| Last updated in NPPES | Feb 10, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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