Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vintage Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1386680908

Vintage Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 S Old Dixie Hwy
Lady Lake, FL 32159-4349
Phone: (352) 751-6895
Fax: (352) 751-6894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH20910 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X
Long Term Care Pharmacy Taxonomy 3336L0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1386680908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patti Harrison — Owner And President · (352) 751-6895
Other names Vintage Pharmacy
NPI enumeratedJune 21, 2006
Last updated in NPPESJanuary 9, 2014
Mailing addressPo Box 67, Lady Lake, FL 32158-0067

Other providers in Lady Lake