VAXCLINIC, LLC (NPI# 1730795873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730795873 |
Entity Type | Organization |
Organization Name | VAXCLINIC, LLC |
Practice Address |
4400 Park Rd Ste 316 Charlotte NC 28209-3289 |
Mailing Address |
1521 Tamworth Dr Charlotte NC 28210-4109 |
Practice Telephone | 6064242781 |
Mailing Telephone | 6064242781 |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-10-19 |
Authorized Official Name | DR. SAMANTHA LEE HOWARD (PHARMACIST) |
Authorized Official Telephone | 6064242781 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | Y |
Parent Organization Name | VAXCLINIC, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679131775 | Vaxclinic, LLC | Pharmacy | 1301 Winchester Rd Ste 13, Lexington, KY 40505-4132 | 2019-06-03 |
Street Address |
4400 PARK RD STE 316 |
City | CHARLOTTE |
State | NC |
Zip Code | 28209-3289 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
Find all providers in zip 28209 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013576693 | Rx Clinic Pharmacy, LLC | Pharmacy | 10508 Park Rd Ste 130, Charlotte, NC 28210-8526 | 2019-06-07 |
1902251978 | Carolina Family Healthcare, Pa | Pharmacy | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2016-04-27 |
1649515362 | Piedmont Pharmacy Solutions, Inc | Pharmacy | 9040 Nations Ford Rd, Charlotte, NC 28273-5716 | 2012-12-06 |
1033362421 | Nalle Pharmacy Inc | Pharmacy | 1918 Randolph Rd, Suite 120, Charlotte, NC 28207-1100 | 2008-10-29 |
1497912653 | The C. W. Williams Community Health Center Pharmacy | Pharmacy | 3333 Wilkinson Blvd, Charlotte, NC 28208-5631 | 2008-05-16 |
1497861017 | Carolinas Medical Center | Pharmacy | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2006-08-23 |
1427164052 | Carolinas Medical Center | Pharmacy | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
1548743826 | Asheville Mountain Pharmacy Inc | Pharmacy | 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 | 2018-09-12 |
1770006355 | Surry Medical Ministries Clinic | Pharmacy | 813 Rockford St, Mount Airy, NC 27030-5321 | 2017-07-25 |
1235514860 | Student Stores Pharmacy | Pharmacy | Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 | 2015-07-24 |
1366863144 | Helping Hands Clinic, Inc. | Pharmacy | 810 Harper Ave Nw, Lenoir, NC 28645-5083 | 2013-12-23 |
1174876189 | Campbell University Health Center, LLC | Pharmacy | 129 T. T. Lanier Street, Buies Creek, NC 27506 | 2012-10-16 |
1942535232 | Quality Care Pharmacy of The Sandhills | Pharmacy | 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 | 2009-10-05 |
1144355116 | Forsyth County North Carolina | Pharmacy | 725 N. Highland Ave, Winston-salem, NC 27101-4299 | 2007-02-22 |
Find all providers with the same taxonomy |
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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.