VAXCLINIC, LLC


Address: 4400 Park Rd Ste 316, Charlotte, NC 28209-3289
Phone: 6064242781

VAXCLINIC, LLC (NPI# 1730795873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679131775 Vaxclinic, LLC Pharmacy 1301 Winchester Rd Ste 13, Lexington, KY 40505-4132 2019-06-03

Office Location

Street Address 4400 PARK RD STE 316
City CHARLOTTE
State NC
Zip Code 28209-3289

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CHARLOTTE
Zip Code 28209

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Dataset Information

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.

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