Organization Active NPI

Vaxitaxicom, P.L.C.

  • Pharmacy
  • Ankeny, IA
National Provider Identifier
1245847466
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
VAXITAXICOM, P.L.C.
Practice address
4105 NW 5TH St
Ankeny, IA 50023-8710
Phone
(855) 829-4692
Fax
(855) 829-4692
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Casey Villhauer, PHARMDNPI 1235755000
Title
Owner
Phone
(515) 368-2704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4105 NW 5TH St
Ankeny, IA 50023-8710

Mailing address

4105 NW 5TH St
Ankeny, IA 50023-8710
Phone (515) 368-2704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1245847466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 NW 5TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238710",
            "telephone_number": "515-368-2704",
            "fax_number": "855-829-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 NW 5TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238710",
            "telephone_number": "855-829-4692",
            "fax_number": "855-829-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAXITAXICOM, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "VILLHAUER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-368-2704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.