VAXCLINIC LLC NPI 1730795873

NPI Details

VAXCLINIC, LLC is a clinic pharmacy pharmacy in Charlotte, NC. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. VAXCLINIC, LLC NPI is 1730795873. The provider is registered as an organization entity type.

The provider's business location address is:

4400 PARK RD STE 316
CHARLOTTE, NC
ZIP 28209-289
Phone: (606) 424-2781

The provider's authorized official is Samantha Lee Howard .
The authorized official title is Pharmacist and has the following contact phone number (704) 755-5656.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Fee covid-19 vac 13 res (HCPCS:0124A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)

The enumeration date for this NPI number is 9/22/2020 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: