Vaccine Hippo, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

VACCINE HIPPO, INC.

Practice address

10040 W Cheyenne Ave Ste 170-146
Las Vegas, NV 89129-7719

Phone

(866) 829-2968

NPI assigned

Mar 8, 2019

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Columbus

Title

President

Phone

(866) 829-2968

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1902364920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 W CHEYENNE AVE STE 170-146",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 W CHEYENNE AVE STE 170-146",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297719",
            "telephone_number": "866-829-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINE HIPPO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "COLUMBUS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-829-2968"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anita Theresa Vaccaro, M.A. MFT
• Christopher John Vaccaro
• Benjamin Vachirakorntong, DO
• Brandon Vacit
• Jason Reed Vaden, PTA
• Fiapule Taliilagi Vae
• Malama Vaega

• Non-Pharmacy Dispensing Site in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Non-Pharmacy Dispensing Site in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.