NPIMap

Organization Active NPI

Vaccine Solutions, LLC

  • Clinic/Center
  • Walpole, MA
National Provider Identifier
1720721970
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VACCINE SOLUTIONS, LLC
Practice address
55 Ititching Post Road
Walpole, MA 08081
Phone
(401) 585-3226
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Miss Mariah Pelkey, LPNNPI 1053051631
Title
Ceo
Phone
(401) 585-3226

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

55 Ititching Post Road
Walpole, MA 08081

Mailing address

3595 Post Rd Apt 1105
Warwick, RI 02886-7000
Phone (401) 585-3226

Other identifiers 2

IdentifierTypeStateIssuer
1053051631OtherMANPPES
1659422004MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email Direct

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": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1720721970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 POST RD APT 1105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867000",
            "telephone_number": "401-585-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ITITCHING POST ROAD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "08081",
            "telephone_number": "401-585-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-585-3226",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1053051631",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659422004",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "55 Ititching Post Road",
            "city": "Walpole",
            "state": "MA",
            "country_code": "US",
            "postal_code": "08081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.