Vaccine Van Rx, LLC
NPI 1619814043ActiveOrganization· Pharmacy, Specialty Pharmacy· West Palm Beach, FL
Pharmacy, Specialty Pharmacy in West Palm Beach, Florida, registered in NPPES in May 2026. The authorized official on file is Jeffrey Godin, PHARMD, Owner. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1619814043 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2026 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (FL) |
|---|
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