OMAHA VAMC (NPI# 1366491524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366491524 |
| Entity Type | Organization |
| Organization Name | OMAHA VAMC |
| Other Organization Name | OMAHA VAMC PHARMACY |
| Practice Address |
4101 Woolworth Ave Omaha NE 68105-1850 |
| Mailing Address |
Po Box 94460 Cleveland OH 44101-4460 |
| Practice Telephone | 4029954903 |
| Practice Fax Number | 4029955505 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-10-23 |
| 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 |
|---|---|---|---|
| NE | NCPDP# | 2814564 | 01 |
| Other Name | Type Code |
|---|---|
| OMAHA VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961670 | Omaha Vamc | Clinic/Center | 415 N. Perry Street, Davenport, IA 52801-1617 | 2016-09-23 |
| 1093105207 | Omaha Vamc | Clinic/Center | 825 Dorcas St, Suite 200, Omaha, NE 68108-1160 | 2015-01-26 |
| 1700276920 | Omaha Vamc | Clinic/Center | 1535 1st Ave Se, Cedar Rapids, IA 52402-5123 | 2015-01-26 |
| 1558778514 | Omaha Vamc | Clinic/Center | 520 10th Avenue, Suite 100, Coralville, IA 52241-1910 | 2014-07-22 |
| 1376817148 | Omaha Vamc | Clinic/Center | 915 Short St, Decorah, IA 52101-2412 | 2012-02-27 |
| 1851660724 | Omaha Vamc | Clinic/Center | 406 Avenue C, Sterling, IL 61081-3407 | 2011-12-22 |
| 1417182395 | Omaha Vamc | Clinic/Center | 3500 Dalton Way Sw Ste 300, Cedar Rapids, IA 52404-2564 | 2009-05-21 |
| 1811149529 | Omaha Vamc | Clinic/Center | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2008-10-14 |
| 1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
| 1841238474 | Omaha Vamc | Clinic/Center | 300 E 3rd St Ste 302, North Platte, NE 69101-4000 | 2006-06-04 |
| Street Address |
4101 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759870 | Allan Hancock | Dentist | 4101 Woolworth Ave, Dental Department 160, Omaha, NE 68105-1850 | 2005-09-01 |
| 1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
| 1558979575 | Kristianna L Farley | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-07-15 |
| 1427671080 | Kelly Lea Baxter | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1255954806 | Ashleigh Grammar | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1437784170 | Chad Michael Conrad | Respiratory Therapist, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-03-03 |
| 1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
| 1467009902 | Michelle Marie Inzauro | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-20 |
| 1720633092 | Jacob Leons | Audiologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-05 |
| 1477118230 | Topacio Anahi Ortiz | Dietitian, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| 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 |
|---|---|---|---|---|
| 1851404602 | Central Nebraska Home Care Services | Department of Veterans Affairs (VA) Pharmacy | 221 West 44th Street, Kearney, NE 68845 | 2006-08-16 |
| 1801096094 | Norfolk Veterans Home | Department of Veterans Affairs (VA) Pharmacy | 600 E Benjamin Ave, Norfolk, NE 68701-0830 | 2007-07-25 |
| 1356399372 | Omaha Vamc | Department of Veterans Affairs (VA) Pharmacy | 600 S 70th St, Lincoln, NE 68510-2451 | 2006-05-04 |
| 1841258720 | Omaha Vamc | Department of Veterans Affairs (VA) Pharmacy | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2006-05-02 |
Please comment or provide details below to improve the information on OMAHA 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.