WALLA WALLA VAMC (NPI# 1477501666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477501666 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA VAMC |
| Other Organization Name | WALLA WALLA VAMC PHARMACY |
| Practice Address |
77 Wainwright Dr Walla Walla WA 99362-3975 |
| Mailing Address |
Po Box 94423 Cleveland OH 44101-4423 |
| Practice Telephone | 5095255200 |
| Practice Fax Number | 5095276137 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2006-05-04 |
| 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 |
|---|---|---|---|
| WA | NCPDP# | 4912653 | 01 |
| Other Name | Type Code |
|---|---|
| WALLA WALLA VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457742538 | Walla Walla Vamc | Clinic/Center | 2 Marine Drive, Suite 103, Boardman, OR 97818-9998 | 2015-02-11 |
| 1710378898 | Walla Walla Vamc | Clinic/Center | 401 Northeast 1st Street, Suite A, Enterprise, OR 97828-1186 | 2015-02-11 |
| 1184812943 | Walla Walla Vamc | Clinic/Center | 202 12th St, La Grande, OR 97850-2879 | 2007-10-05 |
| 1992745723 | Walla Walla Vamc | Clinic/Center | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-06-08 |
| 1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
| 1093106171 | Walla Walla Vamc | Clinic/Center | 711 W North St, Grangeville, ID 83530-1349 | 2015-02-11 |
| 1588610398 | Walla Walla Vamc | Clinic/Center | 1630 23rd Ave, Stes. 302 & 401, Bldg. 2, Lewiston, ID 83501-6350 | 2006-05-25 |
| 1356393805 | Walla Walla Vamc | General Acute Care Hospital | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-05-16 |
| Street Address |
77 WAINWRIGHT DR |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971528 | Barbara June Hetrick | Optometrist | 77 Wainwright Dr, Vamc Eye Clinic, 123, Walla Walla, WA 99362-3975 | 2005-09-07 |
| 1528671351 | Michelle Marie Hammond | Optometrist | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2020-08-31 |
| 1437776481 | Angela Maria Young | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2020-06-25 |
| 1689210510 | Lisa L O'dell | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-11-26 |
| 1174171425 | Kirsten Nicole Borges | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-08-29 |
| 1346800877 | Jennifer Lynn Oetman | Social Worker | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-06-17 |
| 1811450919 | Jeral Lee Ann Blankenship | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-04-08 |
| 1144711086 | Emily Rose Freeman | Optometrist | 77 Wainwright Dr, Walla Walla, WA 99362 | 2018-05-26 |
| 1417463209 | Ydien Barrios | Social Worker | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2017-12-16 |
| 1518310283 | Kerri Norris | Optometrist | 77 Wainwright Dr, Jonathan M Wainwright Memorial Vamc, Walla Walla, WA 99362-3975 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1982740502 | Eanas and Lyle Inc | Department of Veterans Affairs (VA) Pharmacy | 1005 W 9th Ave, Spokane, WA 99204-3025 | 2007-01-30 |
| 1255424685 | Portland Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2006-09-30 |
| 1790733285 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 9600 Veterans Dr Sw, Tacoma, WA 98493-0001 | 2006-05-05 |
| 1619925807 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-05-04 |
| 1962450122 | Spokane Vamc | Department of Veterans Affairs (VA) Pharmacy | 4815 N Assembly St, Spokane, WA 99205 | 2006-05-04 |
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.