CHARLESTON VAMC (NPI# 1265490262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265490262 |
| Entity Type | Organization |
| Organization Name | CHARLESTON VAMC |
| Other Organization Name | CHARLESTON VAMC PHARMACY |
| Practice Address |
109 Bee St Charleston SC 29401-5703 |
| Mailing Address |
Po Box 89425 Cleveland OH 44101-6425 |
| Practice Telephone | 8437897339 |
| Practice Fax Number | 8437897903 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-10-19 |
| 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# | 4224628 | 01 |
| Other Name | Type Code |
|---|---|
| CHARLESTON VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1851339451 | Charleston Vamc | Clinic/Center | 1170 Shawnee Street, Savannah, GA 31419-1618 | 2006-06-03 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1255729398 | Charleston Vamc | Clinic/Center | 9229 University Blvd, North Charleston, SC 29406-9150 | 2014-12-23 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| 1427344308 | Charleston Vamc | Clinic/Center | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2011-06-20 |
| 1235286741 | Charleston Vamc | Clinic/Center | 2418 Nnptc Circle, Goose Creek, SC 29445-9998 | 2007-01-05 |
| 1649286972 | Charleston Vamc | General Acute Care Hospital | 109 Bee Street, Charleston, SC 29401 | 2006-07-31 |
| 1821036286 | Charleston Vamc | Clinic/Center | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1533 | 2006-06-04 |
| 1194776807 | Charleston Vamc | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2006-05-15 |
| Street Address |
109 BEE ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485957 | Amy Marie Perry | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2005-05-23 |
| 1114525102 | Freddie Lee Bellamy | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-10-13 |
| 1467068726 | Jonathan Mansfield | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2020-09-21 |
| 1427661255 | Amy James | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-31 |
| 1528670304 | Heather Holden | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-21 |
| 1487279212 | Marlee Silversmith | Student in an Organized Health Care Education/Training Program | 109 Bee St, Charleston, SC 29401-5703 | 2020-06-08 |
| 1881218576 | Tonisha D Cabbagestalk | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-29 |
| 1063034825 | Michael Morris | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-14 |
| 1346862729 | Betsy Jean Kroger | Counselor | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-08 |
| 1477173425 | Amy M Millett | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| 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 |
|---|---|---|---|---|
| 1063460137 | Charleston Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 3725 Rivers Ave, Suite 2, North Charleston, SC 29405-7038 | 2006-05-04 |
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| 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 |
| 1104884014 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-02 |
| City | CHARLESTON |
| Zip Code | 29401 |
Please comment or provide details below to improve the information on CHARLESTON 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.