Vaxon LLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

VAXON LLC

Practice address

4057 Reunion Creek Pkwy
Apex, NC 27539-9209

Phone

(919) 887-7999

Fax

(828) 282-2442

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Mariam Fadaly

Title

Ceo

Phone

(919) 756-7886

Specialties & licenses 2

Addresses

Tax ID family

Vaxon LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vaxon LLC

  • Pharmacy
  • Cary, NC
  • NPI 1992450381
  NPD tax ID

Locations

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1497377543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 EDWARDS MILL RD STE 141",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125371",
            "telephone_number": "919-756-7886",
            "fax_number": "828-282-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 REUNION CREEK PKWY",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399209",
            "telephone_number": "919-887-7999",
            "fax_number": "828-282-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAXON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-09-06",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "FADALY",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-756-7886"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Elise Vargas
• Tabitha Crystal Vargo, MS, CCC-SLP
• Daylin Vasallo Hernandez, MD
• Vax Mobile NC LLC
• Vaxon LLC
• Keerthana Velappan, AUD
• Ronald David Venezie, DDS, MS
• Alexander Vergara, LCMHC-A
• Verma Physical Therapy and Wellness LLC
• Ruchika Verma

• Preventive Medicine/Occupational Environmental Medicine Physician in Apex, NC
• Providers in Apex, NC by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.