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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.

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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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-29. Verify at npiregistry.cms.hhs.gov.
Where is Vitacore LLC located?
The practice location on file with NPPES is in Southern Pines, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-29.