LOUISVILLE VAMC (NPI# 1538127295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538127295 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE VAMC |
| Other Organization Name | LOUISVILLE VAMC PHARMACY |
| Practice Address |
800 Zorn Ave Louisville KY 40206-1433 |
| Mailing Address |
Po Box 94508 Cleveland OH 44101 |
| Practice Telephone | 5022876179 |
| Practice Fax Number | 5022876967 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-08-14 |
| 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 |
|---|---|---|---|
| KY | NCPDP# | 1827243 | 01 |
| Other Name | Type Code |
|---|---|
| LOUISVILLE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015074 | Louisville Vamc | Clinic/Center | 1911 Us Highway 227, Carrollton, KY 41008-8037 | 2008-09-09 |
| 1144267071 | Louisville Vamc | Clinic/Center | 811 Northgate Blvd, New Albany, IN 47150-6419 | 2006-05-31 |
| 1518910025 | Louisville Vamc | Clinic/Center | 9208 Taylorsville Road, Louisville, KY 40299-9998 | 2006-05-18 |
| 1649630955 | Louisville Vamc | Psychiatric Residential Treatment Facility | 800 Zorn Ave, Louisville, KY 40206-1433 | 2016-02-29 |
| 1770732752 | Louisville Vamc | Clinic/Center | 1467 Scott Valley Dr, Scottsburg, IN 47170-7795 | 2008-09-15 |
| 1063668291 | Louisville Vamc | Clinic/Center | 619 W Main St, Clarkson, KY 42726-7044 | 2008-08-07 |
| 1750320735 | Louisville Vamc | Clinic/Center | 3430 Newburg Rd, Louisville, KY 40218-2497 | 2006-06-06 |
| 1851347124 | Louisville Vamc | Clinic/Center | 3934 Dixie Hwy, Suite 210, Louisville, KY 40216-4163 | 2006-05-26 |
| 1699728824 | Louisville Vamc | Clinic/Center | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2006-05-18 |
| 1144279597 | Louisville Vamc | General Acute Care Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISVILLE VAMC | 800 Zorn Ave, Louisville, KY 40206-1433 |
| Street Address |
800 ZORN AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879162 | Leah D Phillips-black | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206-1433 | 2005-05-27 |
| 1477150464 | Erika Alexandra Belloso Gonzalez | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-10-03 |
| 1871100180 | Allana Boone | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1245847458 | Ellyn Schill | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1750996377 | Shirley Ann Willis | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1902411523 | Sarah Michelle Mizell | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1477171171 | Kimberly Williams | Clinic/Center | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-07-08 |
| 1851918817 | Jessica Christine Piercy | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-25 |
| 1477179851 | Kayla Janbakhsh | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-22 |
| 1396369179 | Sydney Elizabeth Sims | Physician Assistant | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| 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 |
|---|---|---|---|---|
| 1801088125 | Jewish Hospital & St. Mary's Healthcare, Inc. | Department of Veterans Affairs (VA) Pharmacy | 539 S 4th St, Louisville, KY 40202-2535 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487612172 | Lexington Vamc | Department of Veterans Affairs (VA) Pharmacy | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-05-02 |
| City | LOUISVILLE |
| Zip Code | 40206 |
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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.