COLUMBIA VAMC (NPI# 1265490155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265490155 |
| Entity Type | Organization |
| Organization Name | COLUMBIA VAMC |
| Other Organization Name | GREENVILLE SC VA CLINIC PHARMACY |
| Practice Address |
41 Park Creek Drive Greenville SC 29605-4270 |
| Mailing Address |
Po Box 89478 Cleveland OH 44101-6478 |
| Practice Telephone | 8642991600 |
| Practice Fax Number | 8036958300 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-02 |
| 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 |
|---|---|---|---|
| SC | NCPDP | 4226228 | 01 |
| Other Name | Type Code |
|---|---|
| GREENVILLE SC VA CLINIC PHARMACY | Other Name - Individual/Organization |
| GREENVILLE VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
| 1649218579 | Columbia Vamc | Clinic/Center | 2670 Mills Park Dr, Rock Hill, SC 29732-8599 | 2006-06-03 |
| 1912945593 | Columbia Vamc | Clinic/Center | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-06-03 |
| 1578514030 | Columbia Vamc | General Acute Care Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-12 |
| 1104884014 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-02 |
| Street Address |
41 PARK CREEK DRIVE |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508941329 | Rebecca Adams Roesch | Social Worker | 41 Park Creek Drive, Greenville, SC 29605 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1225432248 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 401 Moye Blvd, Greenville, NC 27834-2885 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063460137 | Charleston Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 3725 Rivers Ave, Suite 2, North Charleston, SC 29405-7038 | 2006-05-04 |
| 1083006258 | Orpro, Inc. | Department of Veterans Affairs (VA) Pharmacy | 12b Boardwalk Pl, The Commons, Seneca, SC 29678-2671 | 2015-02-25 |
| 1760627319 | Dominion Health Care LLC | Department of Veterans Affairs (VA) Pharmacy | 510 Hickory Grove Cir, Florence, SC 29501-0810 | 2008-12-11 |
| 1265490262 | Charleston Vamc | Department of Veterans Affairs (VA) Pharmacy | 109 Bee St, Charleston, SC 29401-5703 | 2006-05-02 |
| 1104884014 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-02 |
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on COLUMBIA 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.