DURHAM VAMC (NPI# 1225432248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225432248 |
| Entity Type | Organization |
| Organization Name | DURHAM VAMC |
| Other Organization Name | GREENVILLE NC VA CLINIC PHARMACY |
| Practice Address |
401 Moye Blvd Greenville NC 27834-2885 |
| Mailing Address |
Po Box 89482 Cleveland OH 44101-6482 |
| Practice Telephone | 9192866959 |
| Practice Fax Number | 9192866825 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | ERIN 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 |
|---|---|---|---|
| NCPDP | 3464219 | 01 |
| Other Name | Type Code |
|---|---|
| GREENVILLE NC VA CLINIC PHARMACY | Other Name - Individual/Organization |
| GREENVILLE VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446105 | Durham Vamc | Clinic/Center | 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 | 2020-01-17 |
| 1609274943 | Durham Vamc | Clinic/Center | 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 | 2014-12-19 |
| 1023056488 | Durham Vamc | Clinic/Center | 5240 Highway 70 W, Morehead City, NC 28557-4506 | 2006-06-04 |
| 1124475892 | Durham Vamc | Clinic/Center | 2600 Atlantic Ave, Suite 200, Raleigh, NC 27604-1502 | 2016-05-23 |
| 1013324110 | Durham Vamc | Clinic/Center | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2014-07-21 |
| 1972910057 | Durham Vamc | Clinic/Center | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2014-07-21 |
| 1104233204 | Durham Vamc | Clinic/Center | 1830 Hillandale Rd, Durham, NC 27705-2670 | 2014-07-21 |
| 1417109471 | Durham Vamc | Clinic/Center | 508 Fulton St, Durham, NC 27705-3875 | 2008-10-21 |
| 1720251275 | Durham Vamc | Military Hospital | Duke University Medical Center, Erwin Rd, Durham, NC 27710-0001 | 2008-04-04 |
| 1760420855 | Durham Vamc | Clinic/Center | 3305 Sungate Blvd, Raleigh, NC 27610-2871 | 2006-06-02 |
| Street Address |
401 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021460 | William Chadwick Wood | Internal Medicine | 401 Moye Blvd, Greenville Va Hcc (health Care Center), Greenville, NC 27834 | 2005-11-22 |
| 1639786015 | Mary Rachelle Stevens-carr | Psychologist | 401 Moye Blvd, Greenville, NC 27834-2885 | 2020-09-29 |
| 1104459759 | Joshua Mark Schiemann | Physical Therapist | 401 Moye Blvd, Greenville, NC 27834-2885 | 2020-02-21 |
| 1881230779 | Nels Cooper Brannan | Pharmacist | 401 Moye Blvd, Greenville, NC 27834-2885 | 2019-11-26 |
| 1689218828 | Jessica Ford | Psychologist | 401 Moye Blvd, Greenville, NC 27834-2885 | 2019-10-31 |
| 1417505249 | Tonya Mial | Registered Nurse | 401 Moye Blvd, Greenville, NC 27834-2885 | 2019-08-26 |
| 1770139800 | Alicia Moore Rutherford | Audiologist | 401 Moye Blvd, Greenville, NC 27834-2885 | 2019-08-14 |
| 1225682404 | Sharda Renee Wilkes | Licensed Practical Nurse | 401 Moye Blvd, Greenville, NC 27834-2885 | 2019-07-26 |
| 1720648405 | Angela Natalia Castro | Social Worker | 401 Moye Blvd, Greenville, NC 27834-2885 | 2019-06-16 |
| 1245706829 | Alissa Marie Maus | Audiologist | 401 Moye Blvd, Greenville, NC 27834-2885 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245693050 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 3506 W Tyvola Road, Charlotte, NC 28208 | 2016-03-30 |
| 1699146019 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2015-10-12 |
| 1831438381 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1705 Gardner Road, Wilmington, NC 28405-8873 | 2013-02-04 |
| 1912162330 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 8601 University East Dr, Charlotte, NC 28213 | 2008-07-24 |
| 1922056555 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-05-05 |
| 1982652723 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 1695 Kernersville Medical Pkwy, Kernersville, NC 27284 | 2006-05-04 |
| 1952369886 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 508 Fulton St, Durham, NC 27705-3875 | 2006-05-02 |
| 1871551713 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-05-02 |
| 1417914508 | Asheville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1100 Tunnel Rd, Asheville, NC 28805 | 2006-05-01 |
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DURHAM VAMC.
| 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.