FORT MEADE VAMC (NPI# 1114985058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114985058 |
| Entity Type | Organization |
| Organization Name | FORT MEADE VAMC |
| Other Organization Name | FORT MEADE VAMC PHARMACY |
| Practice Address |
113 Comanche Rd Fort Meade SD 57741-1002 |
| Mailing Address |
Po Box 94456 Cleveland OH 44101-4456 |
| Practice Telephone | 6053477158 |
| Practice Fax Number | 6053477207 |
| 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 |
|---|---|---|---|
| SD | NCPDP# | 4304806 | 01 |
| Other Name | Type Code |
|---|---|
| FORT MEADE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205870201 | Fort Meade Vamc | Clinic/Center | Sales Barn Rd, Veterans Industries, Mclaughlin, SD 57642-9998 | 2006-06-16 |
| 1922049378 | Fort Meade Vamc | Clinic/Center | 660 West 2nd Street, Avera Winner Medical Clinic, Winner, SD 57580-1218 | 2006-06-09 |
| 1780623199 | Fort Meade Vamc | Clinic/Center | 601 5th Ave, Scottsbluff, NE 69361 | 2006-06-05 |
| 1346288438 | Fort Meade Vamc | Clinic/Center | 3625 5th St, Rapid City, SD 57701-6015 | 2006-06-02 |
| 1770520397 | Fort Meade Vamc | Clinic/Center | 1615 N Harrison Ave Ste 20, Pierre, SD 57501-2392 | 2006-06-01 |
| 1033153705 | Fort Meade Vamc | Clinic/Center | 153 South Main St., Mission, SD 57555-9998 | 2006-06-15 |
| 1679517346 | Fort Meade Vamc | Clinic/Center | 300 E 8th St, Gordon, NE 69343-1123 | 2006-06-15 |
| 1386688018 | Fort Meade Vamc | Clinic/Center | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-06-15 |
| 1619914116 | Fort Meade Vamc | Clinic/Center | 1124 Washington Blvd, Newcastle, WY 82701-2972 | 2006-06-01 |
| 1790734440 | Fort Meade Vamc | General Acute Care Hospital | 500 N 5th St, Va Medical Center, Hot Springs, SD 57747-1480 | 2006-05-09 |
| Street Address |
113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| 1942836093 | Jason William Chipman | Counselor | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-20 |
| 1114553799 | Talona Gonzalez | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-16 |
| 1497396618 | Jenna Pruitt | Occupational Therapist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-09-30 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1578119988 | Lindsay Heimann | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1093367369 | Megan Czmowski | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-16 |
| 1033761044 | Amber Rose Jones | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| 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 |
|---|---|---|---|---|
| 1902854151 | Sioux Falls Vamc | Department of Veterans Affairs (VA) Pharmacy | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2006-05-04 |
| 1558319541 | Fort Meade Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-05-04 |
| City | FORT MEADE |
| Zip Code | 57741 |
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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.