VAXCLINIC, LLC (NPI# 1679131775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679131775 |
| Entity Type | Organization |
| Organization Name | VAXCLINIC, LLC |
| Other Organization Name | VAXCLINIC |
| Practice Address |
1301 Winchester Rd Ste 13 Lexington KY 40505-4132 |
| Mailing Address |
1521 Tamworth Dr Charlotte NC 28210-4109 |
| Practice Telephone | 6064242781 |
| Mailing Telephone | 6064242781 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | DR. SAMANTHA HOWARD (PHARMACIST) |
| Authorized Official Telephone | 6064242781 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1487140901 | 1487140901 | 01 |
| Other Name | Type Code |
|---|---|
| VaxClinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| Street Address |
1301 WINCHESTER RD STE 13 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40505-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
| 1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
| 1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
| 1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
| 1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
| 1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
| 1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
| Find all providers in zip 40505 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013571 | Andrew William Peters | Pharmacist | 301 Castor Rd Apt 104, Lexington, OH 44904-8745 | 2020-11-03 |
| 1689285033 | Breanna Danielle Ardis | Pharmacist | 2418 Augusta Hwy, Lexington, SC 29072-2216 | 2020-08-10 |
| 1437772530 | Dhrutiben Pareshbhai Patel | Pharmacist | 104 Scarborough Dr Ste C, Lexington, SC 29072-1922 | 2020-05-22 |
| 1205455987 | Michael David Deluca | Pharmacist | 3908 Laurel Oak Ln, Lexington, KY 40514-1732 | 2020-04-13 |
| 1437787561 | Dorothy Riechter | Pharmacist | 2195 Harrodsburg Rd Rm T1636, Lexington, KY 40504-3516 | 2020-04-01 |
| 1215565817 | Nancy Hudson | Pharmacist | 800 Rose Street Room 110, Lexington, KY 40546-0001 | 2020-03-30 |
| 1720611791 | Patience Nave Fort | Pharmacist | Chandler Retail Pharmacy 1000 S Limestone Room A.01.114, Lexington, KY 40536-0001 | 2020-02-19 |
| 1669012233 | William Todd Adams | Pharmacist | 399 Waller Ave Ste 110, Lexington, KY 40504-2910 | 2020-01-13 |
| 1043859069 | Von Hiten | Pharmacist | 740 South Limestone J134, Lexington, KY 40536-0001 | 2019-12-23 |
| 1790339661 | Anthony Tagavi | Pharmacist | 740 South Limestone St K-135, Lexington, KY 40536-0284 | 2019-07-30 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.