NPIMap

Organization Active NPI

Vaxclinic, LLC

  • Pharmacist
  • Lexington, KY
National Provider Identifier
1679131775
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
VAXCLINIC, LLC
Doing business as
VaxClinic
Practice address
1301 Winchester Rd Ste 13
Lexington, KY 40505-4132
Phone
(606) 424-2781
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. Samantha Howard, PHARMDNPI 1487140901
Title
Pharmacist
Phone
(606) 424-2781

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)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

1301 Winchester Rd Ste 13
Lexington, KY 40505-4132

Mailing address

1521 Tamworth Dr
Charlotte, NC 28210-4109
Phone (606) 424-2781

Other identifiers 1

IdentifierTypeStateIssuer
1487140901OtherNC1487140901

Other names 1

  • VaxClinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1301 Winchester Rd
Ste 13
Lexington, KY 40505
Phone (606) 424-2781

Practitioners & affiliated clinicians

Practitioners 2

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": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1679131775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 TAMWORTH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104109",
            "telephone_number": "606-424-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WINCHESTER RD STE 13",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054132",
            "telephone_number": "606-424-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAXCLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-424-2781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1487140901",
            "identifier": "1487140901",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VaxClinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VaxClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.