Active NPI
Vaxpro LLC
- Clinic/Center
- Verona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- VAXPRO LLC
- Practice address
- 230 Horizon Dr Ste 101B
Verona, WI 53593-1256 - Phone
- (262) 241-4522
- Fax
- (262) 241-0626
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mina Said, PHARMD
- Title
- Ceo
- Phone
- (262) 241-4522
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10629-040 | WI | |
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
230 Horizon Dr Ste 101B
Verona, WI 53593-1256
Mailing address
230 Horizon Dr Ste 101B
Verona, WI 53593-1256
Phone (262) 241-4522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060418000540 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315956489 | Practice locations: Mequon, WI |
National Provider Directory
National Provider DirectoryLocations
5550 Carmel Mountain Rd
Ste 111A
San Diego, CA 92130
200 E Pratt St
Baltimore, MD 21202
875 N High St
#300
Columbus, OH 43215
11516 N Port Washington Rd
Ste 102
Mequon, WI 53092
Phone (262) 241-4522
10144 N Port Washington Rd
Mequon, WI 53092
10144 N Port Washington Rd
Ste Lle
Mequon, WI 53092
Phone (414) 403-8677
1001 W Glen Oaks Ln
Mequon, WI 53092
631 E Chicago St
Milwaukee, WI 53202
Phone (414) 223-2180
9363 N 76th St
Milwaukee, WI 53223
Phone (414) 355-1120
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Diego, CA
- NPI 1720560576
-
- Pharmacist
- Milwaukee, WI
- NPI 1093112591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1619052172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HORIZON DR STE 101B",
"city": "VERONA",
"state": "WI",
"postal_code": "535931256",
"telephone_number": "262-241-4522",
"fax_number": "262-241-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HORIZON DR STE 101B",
"city": "VERONA",
"state": "WI",
"postal_code": "535931256",
"telephone_number": "262-241-4522",
"fax_number": "262-241-0626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAXPRO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "SAID",
"authorized_official_first_name": "MINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "262-241-4522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WI",
"license": "10629-040",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, WI
- Ultimate Performance Therapy, LLC
- University of Wisconsin Medical Foundation Inc
- Unwin Chiropractic & Wellness Center, S.C.
- Jill G Unwin, D.C.
- Tyler Vanden Boogard, DPT
- Geraldine Lucia Veneman-Fieschko
- Verona Area School District
- Verona Chiropractic, LLC
- Verona Counseling Associates
- Verona Family Dental LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.