Vitacore LLC
Vitacore LLC is a healthcare organization registered as Internal Medicine Physician in Southern Pines, NC, holding Type 2 (organization) NPI 1639987431 since 2024. The authorized official on file is Philip Mondi, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639987431 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vitacore LLC |
| Practice address | 375 SE BROAD ST, Southern Pines, NC, 28387 |
| Phone | 9106906894 |
| Fax | 9107250033 |
| Enumeration date | 2024-12-26 |
| Last updated in NPPES | 2025-09-29 |
Authorized official
| Name | Philip Mondi |
|---|---|
| Title | Owner |
| Phone | 9106906894 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Vitacore LLC NPI: 1639987431 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 375 SE BROAD ST, Southern Pines, NC, 28387
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306362066 | Molly Dallas Rogers | Individual | Behavior Analyst | Southern Pines, NC |
| 1982200689 | Taylor Brozovic | Individual | Behavior Technician | Southern Pines, NC |
| 1467175810 | Shalinda Brewer | Individual | Behavior Technician | Southern Pines, NC |
| 1235855594 | Sara Adkins | Individual | Behavior Technician | Southern Pines, NC |
| 1881307213 | Stoney Taylor | Individual | Behavior Technician | Southern Pines, NC |
| 1134803547 | Tiara Smith | Individual | Behavior Technician | Southern Pines, NC |
| 1821874082 | Ashley Garcia | Individual | Behavior Technician | Southern Pines, NC |
| 1407637226 | Breanna Prevatte | Individual | Behavior Technician | Southern Pines, NC |
Verify this record
Cross-check NPI 1639987431 against the authoritative CMS record: view Vitacore LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Vitacore LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-29.