EMORY L BENNETT VA PHARMACY (NPI# 1043439292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043439292 |
Entity Type | Organization |
Organization Name | EMORY L BENNETT VA PHARMACY |
Other Organization Name | FLORIDA DEPARTMENT OF VETERANS AFFAIRS |
Practice Address |
1920 Mason Ave Daytona Beach FL 32117-5103 |
Practice Telephone | 3862743460 |
Practice Fax Number | 3862743487 |
Mailing Telephone | 3862743460 |
Mailing Fax Number | 3862743487 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RHOMELL CALARA (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 3862743460 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | PH16039 | FL | Suppliers |
Other Name | Type Code |
---|---|
Florida Department of Veterans Affairs | Doing Business As Name - Organization |
Street Address |
1920 MASON AVE |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32117-5103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174515654 | Florida Department of Veterans Affairs | Skilled Nursing Facility | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2005-08-19 |
1982100251 | Lauren Gray | Speech-Language Pathologist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2018-04-04 |
1629578828 | Charis Tse Hamilton | Physical Therapist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2018-02-14 |
1629589486 | Marina Berube | Occupational Therapist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2017-10-19 |
1740581602 | Ilse Kluever | Physical Therapist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2010-11-09 |
1003070608 | Bay Pines Va Medical Center | Skilled Nursing Facility | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2008-07-12 |
1649462359 | Va Medical Center | Skilled Nursing Facility | 1920 Mason Ave, Emory L Bennett Va Nursing Home, Daytona Beach, FL 32117-5103 | 2007-08-16 |
1518165570 | Kathy Jo Barie | Physical Therapist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2007-07-10 |
1083717789 | Rhomell Carrasco Calara | Pharmacist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
Find all providers in zip 32117 |
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 |
---|---|---|---|---|
1083947048 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2009-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003465691 | Potenza Services Inc | Department of Veterans Affairs (VA) Pharmacy | 10711 Sw 216th St Ste 100-206, Miami, FL 33170-3139 | 2019-09-06 |
1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
1821653080 | Tampa Vamc | Department of Veterans Affairs (VA) Pharmacy | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-05-03 |
1558796409 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 5201 Raymond St, Orlando, FL 32803-8208 | 2013-09-11 |
1245549930 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-09-29 |
1548593502 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 2900 Veterans Way, Viera, FL 32940-8007 | 2009-09-09 |
1811220874 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 13800 Veterans Way, Orlando, FL 32827-7403 | 2009-09-09 |
1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
1891743134 | Biloxi Vamc | Department of Veterans Affairs (VA) Pharmacy | 790 Veterans Way, Pensacola, FL 32507-1000 | 2006-05-05 |
1972551323 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-05-05 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32117 |
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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.