Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vintage Pharmacy LLC

Community/Retail Pharmacy in Lady Lake, FL · enumerated 2006 · authorized official Patti Harrison, Owner and President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386680908

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Registry record

Entity type Organization (Type 2)

Legal business name Vintage Pharmacy LLC

Other name <Unavail>

Practice address 104 S Old Dixie Hwy, Lady Lake, FL, 32159

Phone (352) 751-6895

Fax (352) 751-6894

Enumeration date Jun 21, 2006

Last updated in NPPES Jan 9, 2014

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License PH20910 (FL) Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

3336H0001X Home Infusion Therapy Pharmacy Suppliers Secondary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Patti Harrison

Title Owner and President

Phone (352) 751-6895

Other identifiers

Identifier	Type	State	Issuer
2003982	Other	-	PK
028308800	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Vintage Pharmacy LLC located?

The practice location on file with NPPES is in Lady Lake, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-09.