AUGUSTA VAMC (NPI# 1649237751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649237751 |
| Entity Type | Organization |
| Organization Name | AUGUSTA VAMC |
| Other Organization Name | AUGUSTA VAMC PHARMACY |
| Practice Address |
950 15th St Augusta GA 30901-2608 |
| Mailing Address |
Po Box 89454 Cleveland OH 44101-6454 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7067295787 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-05-27 |
| 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 |
|---|---|---|---|
| GA | NCPDP# | 1147912 | 01 |
| Other Name | Type Code |
|---|---|
| AUGUSTA VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
| 1407909799 | Augusta Vamc | Clinic/Center | 9249 Highway 29, Athens, GA 30601-6352 | 2007-01-19 |
| 1194783142 | Augusta Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Freedom Way # 114, Augusta, GA 30904-6258 | 2006-05-01 |
| 1437547569 | Augusta Vamc | Clinic/Center | 658 Northside Dr E, Suite B, Statesboro, GA 30458-4828 | 2014-12-23 |
| 1487843744 | Augusta Vamc | Rehabilitation Unit | 1 Freedom Way, Augusta, GA 30904-6258 | 2007-10-23 |
| 1942259924 | Augusta Vamc | General Acute Care Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-05-08 |
| 1801844469 | Augusta Vamc | General Acute Care Hospital | 950 15th St, Augusta, GA 30901-2608 | 2006-05-05 |
| Street Address |
950 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848944 | Francis Castillo | Student in an Organized Health Care Education/Training Program | 950 15th St, Augusta, GA 30901-2608 | 2020-07-20 |
| 1801413737 | Ari Redcross | Dietitian, Registered | 950 15th St, Augusta, GA 30901-2608 | 2020-06-26 |
| 1104448893 | Mary Elizabeth Coward | Recreation Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-05-15 |
| 1770116444 | Kristen Noelle Lirette | Physical Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-02-20 |
| 1003449075 | Melissa Sue Williams | Physical Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-02-19 |
| 1013549989 | Daniell S Ruth | Registered Nurse | 950 15th St, Augusta, GA 30901-2608 | 2020-02-10 |
| 1285265215 | Elanie C Soto | Registered Nurse | 950 15th St, Augusta, GA 30901-2608 | 2020-01-29 |
| 1194363119 | Kinya Warren | Physician Assistant | 950 15th St, Augusta, GA 30901-2608 | 2019-12-20 |
| 1750930137 | Tanya A Young | Nurse Practitioner | 950 15th St, Augusta, GA 30901-2608 | 2019-09-08 |
| 1326697160 | Amber Cobern | Social Worker | 950 15th St, Augusta, GA 30901-2608 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| 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 |
|---|---|---|---|---|
| 1194783142 | Augusta Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Freedom Way # 114, Augusta, GA 30904-6258 | 2006-05-01 |
| 1407804537 | Togus Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Va Ctr, Augusta, ME 04330-6719 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821350497 | Department of Veterans Affairs Meds By Mail | Department of Veterans Affairs (VA) Pharmacy | 2103 Veterans Blvd, Unit 2, Dublin, GA 31021-7502 | 2012-06-11 |
| 1053379974 | Dublin Vamc | Department of Veterans Affairs (VA) Pharmacy | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-05-02 |
| 1295793248 | Atlanta Vamc | Department of Veterans Affairs (VA) Pharmacy | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-05-01 |
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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.