COLUMBIA VAMC (NPI# 1104884014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104884014 |
| Entity Type | Organization |
| Organization Name | COLUMBIA VAMC |
| Other Organization Name | COLUMBIA VAMC PHARMACY |
| Practice Address |
6439 Garners Ferry Rd Columbia SC 29209-1638 |
| Mailing Address |
Po Box 89478 Cleveland OH 44101-6478 |
| Practice Telephone | 8037764000 |
| Practice Fax Number | 8036958300 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-10-22 |
| 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 |
|---|---|---|---|
| SC | NCPDP | 4223260 | 01 |
| Other Name | Type Code |
|---|---|
| COLUMBIA VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
| 1649218579 | Columbia Vamc | Clinic/Center | 2670 Mills Park Dr, Rock Hill, SC 29732-8599 | 2006-06-03 |
| 1912945593 | Columbia Vamc | Clinic/Center | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-06-03 |
| 1578514030 | Columbia Vamc | General Acute Care Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-12 |
| Street Address |
6439 GARNERS FERRY RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1255932901 | Juno Momoko Davenport | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-11-07 |
| 1144820275 | Heather Ruffin | Recreation Therapist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-10-28 |
| 1881201317 | Danelle Alexis Magalit | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1700493186 | Allison Marie Anderson | Audiologist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1346854783 | Sophia Armstrong | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-02 |
| 1609489756 | Jeani Rae Clark Quattlebaum | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-28 |
| 1851902340 | Brittany Franklin | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-10 |
| 1477162667 | Amee Shah | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-24 |
| 1780292482 | Mary Catherine Chase Hess | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| 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 |
|---|---|---|---|---|
| 1194783001 | Kansas City Vamc | Department of Veterans Affairs (VA) Pharmacy | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063460137 | Charleston Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 3725 Rivers Ave, Suite 2, North Charleston, SC 29405-7038 | 2006-05-04 |
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| 1083006258 | Orpro, Inc. | Department of Veterans Affairs (VA) Pharmacy | 12b Boardwalk Pl, The Commons, Seneca, SC 29678-2671 | 2015-02-25 |
| 1760627319 | Dominion Health Care LLC | Department of Veterans Affairs (VA) Pharmacy | 510 Hickory Grove Cir, Florence, SC 29501-0810 | 2008-12-11 |
| 1265490262 | Charleston Vamc | Department of Veterans Affairs (VA) Pharmacy | 109 Bee St, Charleston, SC 29401-5703 | 2006-05-02 |
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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.