BEDFORD VAMC (NPI# 1154388288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154388288 |
| Entity Type | Organization |
| Organization Name | BEDFORD VAMC |
| Other Organization Name | BEDFORD VAMC PHARMACY |
| Practice Address |
200 Springs Rd Bedford MA 01730-1114 |
| Mailing Address |
Po Box 3018 Lebanon PA 17042-3018 |
| Practice Telephone | 7816875210 |
| Practice Fax Number | 7816872014 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-10-19 |
| 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 |
|---|---|---|---|
| MA | NCPDP# | 2233548 | 01 |
| Other Name | Type Code |
|---|---|
| BEDFORD VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881974962 | Bedford Vamc | Military Hospital | 200 Springs Rd, Bedford, MA 01730-1114 | 2011-08-22 |
| 1376622969 | Bedford Vamc | Psychiatric Hospital | 200 Springs Rd, Sws 122, Bedford, MA 01730-1114 | 2006-11-03 |
| 1073550588 | Bedford Vamc | Clinic/Center | 225 Boston St, Lynn, MA 01904-3135 | 2006-06-01 |
| 1750336194 | Bedford Vamc | Clinic/Center | 108 Merrimack St, Haverhill, MA 01830-5210 | 2006-05-24 |
| 1932153368 | Bedford Vamc | Clinic/Center | 199 Main St, Gloucester, MA 01930-6029 | 2006-05-20 |
| 1568412617 | Bedford Vamc | General Acute Care Hospital | 200 Springs Rd, Edith Nourse Rogers Memorial Vamc, Bedford, MA 01730-1114 | 2006-05-11 |
| Street Address |
200 SPRINGS RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1740889161 | Elias Mbogo | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-10-19 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1669099131 | Robert Jurgens Parker | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1962029314 | Philip Tah | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1396368387 | Douglas Allen | Optometrist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-05-25 |
| 1407476963 | Stacy Kathy Tsionis | Registered Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-04-24 |
| 1063040962 | Garret Sacco | Psychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-03-28 |
| 1770123838 | Hannah Murphy | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| 1164062220 | Spencer Logan Diehl | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| 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 |
|---|---|---|---|---|
| 1013965896 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 25 Bond St, Springfield, MA 01104-3401 | 2006-05-04 |
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861440679 | Chelmsford Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2006-05-04 |
| 1528354180 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-22 |
| 1457523201 | Northeast Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-04-01 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| 1811945819 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-05-04 |
| 1720046337 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 421 N Main St, Leeds, MA 01053-9764 | 2006-05-03 |
| 1447218896 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 940 Belmont St, Brockton, MA 02301-5596 | 2006-05-03 |
| 1326006461 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 150 South Huntington Ave, Boston, MA 02130-4893 | 2006-05-01 |
| Find all providers with the same taxonomy | ||||
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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.