GRAND JUNCTION VAMC (NPI# 1093773988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093773988 |
| Entity Type | Organization |
| Organization Name | GRAND JUNCTION VAMC |
| Other Organization Name | GRAND JUNCTION VAMC PHARMACY |
| Practice Address |
2121 North Ave Grand Junction CO 81501-6428 |
| Mailing Address |
Po Box 94457 Cleveland OH 44101-4457 |
| Practice Telephone | 9702632800 |
| Practice Fax Number | 9702632801 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | ERIN DENISE 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 |
|---|---|---|---|
| CO | NCPDP# | 0617728 | 01 |
| Other Name | Type Code |
|---|---|
| GRAND JUNCTION VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431537 | Grand Junction Vamc | Clinic/Center | 482 28 Rd, Grand Junction, CO 81501-7936 | 2020-06-10 |
| 1902297328 | Grand Junction Vamc | Clinic/Center | 2425 South Grand Avenue, Suite 101, Glenwood Springs, CO 81601-4181 | 2015-02-06 |
| 1043496169 | Grand Junction Vamc | Clinic/Center | 1111 W Victory Way Ste 116, Craig, CO 81625-2945 | 2008-01-18 |
| 1144268731 | Grand Junction Vamc | Clinic/Center | 154 Colorado Ave., Suite 100, Montrose, CO 81401-3600 | 2006-06-03 |
| 1386158897 | Grand Junction Vamc | Clinic/Center | 2121 North Ave, Grand Junction, CO 81501-6428 | 2017-11-20 |
| 1538550959 | Grand Junction Vamc | Clinic/Center | 702 S Main St, Suite 5b, Moab, UT 84532-2943 | 2015-02-06 |
| 1407806441 | Grand Junction Vamc | General Acute Care Hospital | 2121 North Ave, Grand Junction, CO 81501-6428 | 2006-05-11 |
| Street Address |
2121 NORTH AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969930 | Ashley Mcneill Reed | Pharmacist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2005-08-15 |
| 1487260691 | Matthew R Gutzmer | Pharmacist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-09-22 |
| 1154937357 | Wesley David Hopkins II | Pharmacist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-09-22 |
| 1003439613 | Hannah Jean Ottmar | Psychologist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-05-19 |
| 1417579350 | Nancy Fricke | Dietitian, Registered | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-05-14 |
| 1598385411 | Jeanne Brummitt | Registered Nurse | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-04-21 |
| 1073148599 | David J Conrad Jr. | Physical Therapist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-03-04 |
| 1568001832 | Janice Lynn Fordyce | 2121 North Ave, Grand Junction, CO 81501-6428 | 2020-01-03 | |
| 1427699727 | Paul Joslyn | Registered Nurse | 2121 North Ave, Grand Junction, CO 81501-6428 | 2019-10-08 |
| 1720629959 | Alexa Rzucidlo | Physical Therapist | 2121 North Ave, Grand Junction, CO 81501-6428 | 2019-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| 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 |
|---|---|---|---|---|
| 1053369520 | Denver Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 N Wheeling Street, Aurora, CO 80045-7211 | 2006-05-05 |
| 1487673521 | Denver Vamc | Department of Veterans Affairs (VA) Pharmacy | 3141 Centennial Blvd., Colorado Springs, CO 80907-9998 | 2006-07-19 |
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on GRAND JUNCTION VAMC.
| 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.