Active NPI
Vaxanation
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Houston, TX
National Provider Identifier
1780147546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Legal business name
- VAXANATION
- Practice address
- 14655 Northwest Fwy Ste 101
Houston, TX 77040-4032 - Phone
- (832) 460-9003
- NPI assigned
- Apr 9, 2019
- 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
- Michael Allen Adams, PHARM D
- Title
- Owner
- Phone
- (832) 460-9003
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | Primary |
Addresses
Primary practice location
14655 Northwest Fwy Ste 101
Houston, TX 77040-4032
Mailing address
14655 Northwest Fwy Ste 101
Houston, TX 77040-4032
Phone (832) 460-9003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202319492 | Medicaid | TX |
Other names 1
- Travelvax
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1740541119
Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1780147546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14655 NORTHWEST FWY STE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770404032",
"telephone_number": "832-460-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14655 NORTHWEST FWY STE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770404032",
"telephone_number": "832-460-9003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAXANATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-460-9003",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202319492",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Travelvax",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.