Provider Demographics
NPI:1275253841
Name:VOST, LLC
Entity Type:Organization
Organization Name:VOST, LLC
Other - Org Name:AT HOME MEDS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:I
Authorized Official - Last Name:PREVOST
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-506-3949
Mailing Address - Street 1:3129 KINGSLEY DR STE 410
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8506
Mailing Address - Country:US
Mailing Address - Phone:346-570-2999
Mailing Address - Fax:346-570-2589
Practice Address - Street 1:3129 KINGSLEY DR STE 410
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8506
Practice Address - Country:US
Practice Address - Phone:346-570-2999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150623Medicaid