MONTGOMERY VAMC (NPI# 1255389730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255389730 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VAMC |
| Other Organization Name | TUSKEGEE VAMC PHARMACY |
| Practice Address |
2400 Hospital Road Tuskegee AL 36083-5001 |
| Mailing Address |
Po Box 89470 Cleveland OH 44101-6470 |
| Practice Telephone | 3347270550 |
| Practice Fax Number | 3347270550 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MS. 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 |
|---|---|---|---|
| AL | NCPDP# | 0132667 | 01 |
| Other Name | Type Code |
|---|---|
| TUSKEGEE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898670 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 801 Veterans Way, Montgomery, AL 36117-9998 | 2016-01-14 |
| 1982074720 | Montgomery Vamc | Clinic/Center | 6635 Bass Road, Bldg. 9214, Fort Benning, GA 31905-9998 | 2015-10-06 |
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| 1255383311 | Montgomery Vamc | Clinic/Center | 1310 13th Ave, Columbus, GA 31901-2335 | 2006-05-17 |
| 1801854146 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 Perry Hill Road, Montgomery, AL 36109-3725 | 2006-05-03 |
| 1942665278 | Montgomery Vamc | Clinic/Center | 8105 Veterans Way, Montgomery, AL 36117-9998 | 2015-12-31 |
| 1518355650 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Circle, Suite 4, Dothan, AL 36303-2291 | 2014-12-23 |
| 1063755668 | Montgomery Vamc | Clinic/Center | 159 Whetstone St, Monroeville, AL 36460-2625 | 2013-04-02 |
| 1790015402 | Montgomery Vamc | Clinic/Center | 301 Andrews Avenue, Ft. Rucker, AL 36362-7836 | 2009-12-31 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| Street Address |
2400 HOSPITAL ROAD |
| City | TUSKEGEE |
| State | AL |
| Zip Code | 36083-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861638025 | Andrea Darmyka Steen | Social Worker | 2400 Hospital Road, Tuskegee, AL 36083 | 2008-12-18 |
| 1598918864 | Charlie Henderson | Counselor | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2008-10-30 |
| 1699864553 | Central Alabama Veterans Health Care Systems | Substance Abuse Rehabilitation Facility | 2400 Hospital Road, Central Alabama Veterans Health Care Systems, Tuskegee, AL 36083 | 2006-10-11 |
| 1780772285 | Central Alabama Veterans Health Care System | Substance Abuse Rehabilitation Facility | 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-10 |
| 1063508612 | Peter Nathan Freund | Pharmacist | 2400 Hospital Road, Pharmacy Service 119, Tuskegee, AL 36083 | 2006-10-04 |
| 1922192178 | Cynthia Michelle Hightower | Pharmacist | 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1942393483 | Johnnie V Williams | Pharmacist | 2400 Hospital Road, Pharmacy Service (119), Tuskegee, AL 36083 | 2006-10-02 |
| 1689766198 | Bharatkumar Madhusudanbhai Patel | Pharmacist | 2400 Hospital Road, Tuskegee, AL 36083 | 2006-09-29 |
| 1497847842 | Debora Anita Nichols | Pharmacist | 2400 Hospital Road, Tuskegee, AL 36083 | 2006-09-29 |
| 1043302532 | Della Shearer Gordon | Pharmacist | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
| 1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
| 1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
| 1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
| 1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
| 1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
| Find all providers in zip 36083 | ||||
| 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 |
|---|---|---|---|---|
| 1699136150 | Birmingham Vamc | Department of Veterans Affairs (VA) Pharmacy | 2415 7th Ave S, Birmingham, AL 35233 | 2016-03-11 |
| 1265898670 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 801 Veterans Way, Montgomery, AL 36117-9998 | 2016-01-14 |
| 1801854146 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 Perry Hill Road, Montgomery, AL 36109-3725 | 2006-05-03 |
| 1982078556 | Birmingham Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 Markaview Rd Nw, Huntsville, AL 35805 | 2015-11-19 |
| 1295783470 | Tuscaloosa Vamc | Department of Veterans Affairs (VA) Pharmacy | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-05-04 |
| 1508824632 | Birmingham Vamc | Department of Veterans Affairs (VA) Pharmacy | 700 19th St S, Birmingham, AL 35233-1927 | 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.