AUGUSTA VAMC (NPI# 1194783142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194783142 |
| Entity Type | Organization |
| Organization Name | AUGUSTA VAMC |
| Other Organization Name | AUGUSTA UPTOWN VAMC PHARMACY |
| Practice Address |
1 Freedom Way # 114 Augusta GA 30904-6258 |
| Mailing Address |
Po Box 89454 Cleveland OH 44101-6454 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7067295787 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-05-29 |
| 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 |
|---|---|---|---|
| GA | NCPDP# | 1152925 | 01 |
| GA | DEA# | BV0524555 | 01 |
| Other Name | Type Code |
|---|---|
| AUGUSTA UPTOWN VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
| 1407909799 | Augusta Vamc | Clinic/Center | 9249 Highway 29, Athens, GA 30601-6352 | 2007-01-19 |
| 1649237751 | Augusta Vamc | Department of Veterans Affairs (VA) Pharmacy | 950 15th St, Augusta, GA 30901-2608 | 2006-05-01 |
| 1437547569 | Augusta Vamc | Clinic/Center | 658 Northside Dr E, Suite B, Statesboro, GA 30458-4828 | 2014-12-23 |
| 1487843744 | Augusta Vamc | Rehabilitation Unit | 1 Freedom Way, Augusta, GA 30904-6258 | 2007-10-23 |
| 1942259924 | Augusta Vamc | General Acute Care Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-05-08 |
| 1801844469 | Augusta Vamc | General Acute Care Hospital | 950 15th St, Augusta, GA 30901-2608 | 2006-05-05 |
| Street Address |
1 FREEDOM WAY # 114 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295840916 | Monica Kelly-chavarria | Pharmacist | 1 Freedom Way # 114, Augusta, GA 30904-6258 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1649237751 | Augusta Vamc | Department of Veterans Affairs (VA) Pharmacy | 950 15th St, Augusta, GA 30901-2608 | 2006-05-01 |
| 1407804537 | Togus Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Va Ctr, Augusta, ME 04330-6719 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821350497 | Department of Veterans Affairs Meds By Mail | Department of Veterans Affairs (VA) Pharmacy | 2103 Veterans Blvd, Unit 2, Dublin, GA 31021-7502 | 2012-06-11 |
| 1053379974 | Dublin Vamc | Department of Veterans Affairs (VA) Pharmacy | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-05-02 |
| 1295793248 | Atlanta Vamc | Department of Veterans Affairs (VA) Pharmacy | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-05-01 |
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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.