MUSKOGEE VAMC (NPI# 1326201138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326201138 |
| Entity Type | Organization |
| Organization Name | MUSKOGEE VAMC |
| Other Organization Name | TULSA VA CBOC PHARMACY |
| Practice Address |
9322 E 41st St Tulsa OK 74145-3721 |
| Mailing Address |
Po Box 94517 Cleveland OH 44101-4517 |
| Practice Telephone | 9186282648 |
| Practice Fax Number | 9186282596 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-10-24 |
| 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 |
|---|---|---|---|
| OK | NCPDP | 3724487 | 01 |
| Other Name | Type Code |
|---|---|
| TULSA VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116857 | Muskogee Vamc | Clinic/Center | 5110 S Yale Ave Ste 200, Tulsa, OK 74135-7475 | 2018-05-30 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| 1750320776 | Muskogee Vamc | Clinic/Center | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-06-05 |
| 1316999410 | Muskogee Vamc | Clinic/Center | 2 E Clark Bass Blvd, Mcalester, OK 74501-4282 | 2006-05-17 |
| 1598714925 | Muskogee Vamc | General Acute Care Hospital | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-10 |
| 1770541377 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-03 |
| Street Address |
9322 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74145-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953411 | Geneva Joan Kilgore | Nurse Practitioner | 9322 E 41st St, Ernest Childers Va Out Patient Clinic, Tulsa, OK 74145-3721 | 2005-12-22 |
| 1497227110 | Wesley Luther Johnston | Registered Nurse | 9322 E 41st St, Tulsa, OK 74145-3721 | 2018-12-19 |
| 1548784184 | Andrea Nichole Briggs | Optometrist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2017-07-26 |
| 1104163278 | Stuart Snyder | Pharmacist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2013-01-10 |
| 1073803532 | Pearl Jewell Freese | Social Worker | 9322 E 41st St, Tulsa, OK 74145-3721 | 2011-04-18 |
| 1720216500 | Korey Legnon | Pharmacist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2009-06-30 |
| 1568646768 | Mary Kay Carter | Physical Therapist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-24 |
| 1609059385 | Deborah S Richardson | Nurse Practitioner | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-17 |
| 1134216609 | Lisa Marie Kedzuf-mcginnis | Optometrist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-10-06 |
| 1336231307 | Julie S Cochran | Emergency Medicine | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| 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 |
|---|---|---|---|---|
| 1750583563 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 4303 Pittman & Thomas Road, Bldg 4303, Fort Sill, OK 73503-4473 | 2007-06-04 |
| 1386002178 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 7919 Mid America Blvd, Suite 300, Oklahoma City, OK 73135-6610 | 2016-02-08 |
| 1043278211 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-05-03 |
| 1770541377 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-03 |
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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.