Vax21 LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VAX21 LLC

Practice address

3050 Post Oak Blvd Ste 510
Houston, TX 77056-6512

Phone

(713) 423-3862

Fax

(713) 423-3863

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Todd Johnson

Title

Ceo

Phone

(713) 423-3862

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, GA2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1649851601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 POST OAK BLVD STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566512",
            "telephone_number": "713-423-3862",
            "fax_number": "713-423-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 POST OAK BLVD STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566512",
            "telephone_number": "713-423-3862",
            "fax_number": "713-423-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAX21 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-423-3862"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean N. Vauthey, M.D.
• Chantee D. Vavasseur, MD
• Anusha Vavilikolanu
• Salma Vawda, MD
• Vax-a-Nation Wellness Clinics LLC.
• Vaxanation
• Biny M Vayalil, CRNA
• Theresa Vaz, LCDC
• Vikram Joseph Vaz, M.D.
• Tatyana Vazemiller, DDS

• Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.

Verify at the official NPI Registry.