TEMPLE VAMC (NPI# 1013965235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013965235 |
Entity Type | Organization |
Organization Name | TEMPLE VAMC |
Other Organization Name | WACO VAMC PHARMACY |
Practice Address |
4800 Memorial Dr Waco TX 76711-1329 |
Mailing Address |
Po Box 94551 Cleveland OH 44101 |
Practice Telephone | 2547432802 |
Practice Fax Number | 2547430020 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2018-10-24 |
Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | NCPDP# | 4538445 | 01 |
Other Name | Type Code |
---|---|
WACO VAMC PHARMACY | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184662736 | Temple Vamc | Clinic/Center | 2000 S Loop 256, Suite 124, Palestine, TX 75801-5932 | 2006-06-04 |
1518918309 | Temple Vamc | Clinic/Center | 1401 Medical Parkway, Building C, Suite 400, Cedar Park, TX 78613-6663 | 2006-05-15 |
1508273673 | Temple Vamc | Clinic/Center | 4501 S General Bruce Dr, Suite 75, Temple, TX 76502-1469 | 2014-07-21 |
1770731895 | Temple Vamc | Clinic/Center | 2 Saint Marks Pl, La Grange, TX 78945-1251 | 2008-09-03 |
1609828771 | Temple Vamc | Clinic/Center | 1651 Rock Prairie Rd, Ste. 100, College Station, TX 77845-8652 | 2006-05-17 |
1548211154 | Temple Vamc | Clinic/Center | 2600 Memorial Park Dr, Suite A, Brownwood, TX 76801-5950 | 2006-05-16 |
1538110739 | Temple Vamc | Clinic/Center | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2006-05-12 |
1124078563 | Temple Vamc | General Acute Care Hospital | 4800 Memorial Dr, Waco, TX 76711 | 2006-05-10 |
1558311936 | Temple Vamc | General Acute Care Hospital | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2006-05-10 |
1952359432 | Temple Vamc | Department of Veterans Affairs (VA) Pharmacy | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2006-05-05 |
Street Address |
4800 MEMORIAL DR |
City | WACO |
State | TX |
Zip Code | 76711-1329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331013 | Raymond C Lisauckis | Counselor | 4800 Memorial Dr, Va Medical Center (124-vist-w), Waco, TX 76711-1329 | 2005-07-22 |
1558978817 | Macey Lynn Everett | Nutritionist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-09-29 |
1659980696 | Najeeah Smith | Social Worker | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-07-27 |
1679100309 | Sara Mariem Ramadan | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-03-24 |
1225660798 | Tiffany A Wilson | Licensed Practical Nurse | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-02-12 |
1972142164 | Sheri Lynn Shaw | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-01-05 |
1366085953 | Ashley P Evans | Registered Nurse | 4800 Memorial Dr, Waco, TX 76711 | 2019-10-25 |
1669021184 | Marian Nichole Guerrero | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-09-06 |
1003463191 | Paul Cook | Physical Therapist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-08-22 |
1346892601 | Austen Anderson | Psychologist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467090548 | Nps Care LLC | Pharmacy | 1401 S Valley Mills Drive, Beverly Hills, TX 76711 | 2019-12-19 |
1033684352 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1437 S. Valley Mills Drive, Waco, TX 76711 | 2018-10-13 |
1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
1053606228 | Clenny Edward Terrell | Pharmacist | 1520 S. Valley Mills Dr., Bevely Hills, TX 76711 | 2011-06-15 |
1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
1184846685 | David Charles Chandler | Specialist/Technologist | Baylor Athletic Department, 150 Bear Run, Waco, TX 76711 | 2007-05-03 |
1326177601 | Minh D Nguyen | Family Medicine | 4800 Memorial Dr Bldg 4, Waco, TX 76711 | 2007-03-05 |
1376652719 | H-e-b, Lp | Clinical Medical Laboratory | 1821 S Valley Mills Dr, Waco, TX 76711 | 2006-08-30 |
Find all providers in zip 76711 |
Taxonomy Code | 332100000X |
Grouping | Suppliers |
Classification | Department of Veterans Affairs (VA) Pharmacy |
Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396191862 | Med Creations,llc | Department of Veterans Affairs (VA) Pharmacy | 3218 Beltline Rd, Suite 510, Farmers Branch, TX 75234 | 2016-05-13 |
1972948891 | Azuart Dme LLC | Department of Veterans Affairs (VA) Pharmacy | 1006 San Francisco St, San Juan, TX 78589-3816 | 2013-05-06 |
1043461353 | Kvg Enterprises Inc | Department of Veterans Affairs (VA) Pharmacy | 1014 A North Fielder Road, Arlington, TX 76015 | 2008-10-06 |
1528222551 | Houston Vamc | Department of Veterans Affairs (VA) Pharmacy | 2206 N. John Redditt Dr., Lufkin, TX 75904 | 2008-07-18 |
1184672941 | Lancaster Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 2962 S Longhorn Dr, Lancaster, TX 75134-2118 | 2006-05-04 |
1740248673 | El Paso Vamc | Department of Veterans Affairs (VA) Pharmacy | 5001 N Piedras, El Paso, TX 79930-4210 | 2006-05-02 |
1871551606 | San Antonio Vamc | Department of Veterans Affairs (VA) Pharmacy | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2006-05-02 |
1679891998 | Harlingen Vamc | Department of Veterans Affairs (VA) Pharmacy | 205 S Enterprize Pkwy, Corpus Christi, TX 78405-4118 | 2010-05-11 |
1124346440 | Harlingen Vamc | Department of Veterans Affairs (VA) Pharmacy | 2106 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2010-05-11 |
1760700082 | Harlingen Vamc | Department of Veterans Affairs (VA) Pharmacy | 901 East Hackberry Ave, Mcallen, TX 78501-6502 | 2010-05-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.