PHILADELPHIA VAMC (NPI# 1124077144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124077144 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA VAMC |
| Other Organization Name | PHILADELPHIA VAMC PHARMACY |
| Practice Address |
3900 Woodland Ave Philadelphia PA 19104-4551 |
| Mailing Address |
Po Box 3007 Lebanon PA 17042-1614 |
| Practice Telephone | 2158235764 |
| Practice Fax Number | 2158234407 |
| Mailing Telephone | 7172776568 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-07-09 |
| 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 |
|---|---|---|---|
| PA | NCPDP# | 3921904 | 01 |
| Other Name | Type Code |
|---|---|
| PHILADELPHIA VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1750324406 | Philadelphia Vamc | Clinic/Center | 3000 Lincoln Drive, Suite E, Marlton, NJ 08053-1500 | 2006-06-13 |
| 1679933048 | Philadelphia Vamc | Psychiatric Residential Treatment Facility | 1425 Snyder Ave, Philadelphia, PA 19145-2317 | 2016-02-29 |
| 1316324486 | Philadelphia Vamc | Clinic/Center | 213 N 4th St, Philadelphia, PA 19106-1801 | 2015-04-28 |
| 1841608882 | Philadelphia Vamc | Clinic/Center | 300 S Broadway, Suite 103, Camden, NJ 08103-1210 | 2014-07-22 |
| 1689618795 | Philadelphia Vamc | Clinic/Center | 433 Caredean Dr, Horsham, PA 19044-1321 | 2006-06-16 |
| 1669426086 | Philadelphia Vamc | Clinic/Center | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-05-20 |
| 1659321693 | Philadelphia Vamc | Skilled Nursing Facility | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-11 |
| Street Address |
3900 WOODLAND AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389837 | Richard Alsdorf Jr. | Nurse Anesthetist, Certified Registered | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2005-10-12 |
| 1487254744 | Jason Anthony Checchia | Nurse Practitioner | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-27 |
| 1639778327 | Bridget Murray | Physician Assistant | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-22 |
| 1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
| 1275131526 | Jonathan Mark Riley Jr. | Social Worker | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-09 |
| 1326655812 | Ashley Jill Maister | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-09-28 |
| 1467079103 | Rohit Singla | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1851918585 | Matthew Clayton Mckeeman | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1699392316 | Jooyeon Park | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1205453941 | Lauren Miller | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| 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 |
|---|---|---|---|---|
| 1215323746 | Hanger Prosthetics & Orthotics Inc | Department of Veterans Affairs (VA) Pharmacy | 500 Market St, Suite 105, West Bridgewater, PA 15009-2998 | 2015-04-10 |
| 1467401299 | Pittsburgh Vamc | Department of Veterans Affairs (VA) Pharmacy | University Drive C, Pittsburgh, PA 15240-1000 | 2006-05-09 |
| 1144278342 | Wilkes Barre Vamc | Department of Veterans Affairs (VA) Pharmacy | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-05-04 |
| 1861440885 | Pittsburgh Vamc | Department of Veterans Affairs (VA) Pharmacy | 1010 Delafield Rd, Aspinwall, PA 15215-1802 | 2006-05-04 |
| 1790743706 | Coatesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-05-02 |
| 1578521365 | Lebanon Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-02 |
| 1558329599 | Altoona Vamc | Department of Veterans Affairs (VA) Pharmacy | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2006-05-01 |
| 1649238759 | Butler Vamc | Department of Veterans Affairs (VA) Pharmacy | 353 N Duffy Rd, Butler, PA 16001-1138 | 2006-05-01 |
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.