ORLANDO VAMC (NPI# 1558796409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558796409 |
| Entity Type | Organization |
| Organization Name | ORLANDO VAMC |
| Other Organization Name | ORLANDO VA CLINIC PHARMACY |
| Practice Address |
5201 Raymond St Orlando FL 32803-8208 |
| Mailing Address |
Po Box 140815 Orlando FL 32814 |
| Practice Telephone | 4076465015 |
| Practice Fax Number | 4076465016 |
| Mailing Telephone | 4076224225 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2019-06-27 |
| 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 |
|---|---|---|---|
| NCPDP | 5716139 | 01 |
| Other Name | Type Code |
|---|---|
| LAKE BALDWIN VA CBOC PHARMACY | Other Name - Individual/Organization |
| ORLANDO VA CLINIC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| 1295195501 | Orlando Vamc | Psychiatric Residential Treatment Facility | 13800 Veterans Way, Orlando, FL 32827-7403 | 2016-02-29 |
| 1043605900 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2015-03-30 |
| 1407244775 | Orlando Vamc | Clinic/Center | 925 S Semoran Blvd, Suites 112, 114 and 120, Winter Park, FL 32792-5313 | 2015-01-08 |
| 1972991016 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2014-12-23 |
| 1245628387 | Orlando Vamc | Clinic/Center | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-12-23 |
| 1255616702 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2011-10-17 |
| 1063747111 | Orlando Vamc | Clinic/Center | 805 Oakley Seaver Dr, Clermont, FL 34711-1968 | 2009-10-07 |
| Street Address |
5201 RAYMOND ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862517 | Janice Yvonne Walker | Nurse Practitioner | 5201 Raymond St, Teal Team, Orlando, FL 32803-8208 | 2005-06-23 |
| 1861006520 | Shantaye Stephens | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-09-01 |
| 1417565490 | Cory Dale Kline | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-16 |
| 1962010058 | Kathleen Morgan Daly | Physical Therapist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-15 |
| 1881259190 | Charlene Thome | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2019-05-02 |
| 1518459932 | Ashley Newton | Audiologist | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-06-01 |
| 1306344361 | Morgan Paige Wright Rauscher | Counselor | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-01-24 |
| 1982112975 | Johnny Hadnot | Technician/Technologist | 5201 Raymond St, Orlando, FL 32803 | 2018-01-12 |
| 1548774888 | John Blasi IIi | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-11-23 |
| 1083135156 | Carolina T Kirton | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1811220874 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 13800 Veterans Way, Orlando, FL 32827-7403 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465691 | Potenza Services Inc | Department of Veterans Affairs (VA) Pharmacy | 10711 Sw 216th St Ste 100-206, Miami, FL 33170-3139 | 2019-09-06 |
| 1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
| 1821653080 | Tampa Vamc | Department of Veterans Affairs (VA) Pharmacy | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-05-03 |
| 1245549930 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-09-29 |
| 1548593502 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 2900 Veterans Way, Viera, FL 32940-8007 | 2009-09-09 |
| 1083947048 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2009-09-09 |
| 1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
| 1043439292 | Emory L Bennett Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2007-04-25 |
| 1891743134 | Biloxi Vamc | Department of Veterans Affairs (VA) Pharmacy | 790 Veterans Way, Pensacola, FL 32507-1000 | 2006-05-05 |
| 1972551323 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-05-05 |
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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.