AMARILLO VAMC (NPI# 1750339636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750339636 |
| Entity Type | Organization |
| Organization Name | AMARILLO VAMC |
| Other Organization Name | LUBBOCK VA CBOC PHARMACY |
| Practice Address |
6104 Avenue Q South Dr Lubbock TX 79412-3700 |
| Mailing Address |
Po Box 94400 Cleveland OH 44101-4400 |
| Practice Telephone | 8064723458 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-04-06 |
| 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 |
|---|---|---|---|
| TX | NCPDP# | 4530336 | 01 |
| Other Name | Type Code |
|---|---|
| LUBBOCK VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225072424 | Amarillo Vamc | Clinic/Center | 325 Denver Ave, Dalhart, TX 79022-2711 | 2006-06-16 |
| 1629022520 | Amarillo Vamc | Clinic/Center | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2006-05-22 |
| 1821040957 | Amarillo Vamc | Clinic/Center | 921 E Llano Estacado Blvd, Clovis, NM 88101-3807 | 2006-05-17 |
| 1225087794 | Amarillo Vamc | General Acute Care Hospital | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-10 |
| 1235197658 | Amarillo Vamc | Department of Veterans Affairs (VA) Pharmacy | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-03 |
| 1790746188 | Amarillo Vamc | Clinic/Center | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2006-03-28 |
| Street Address |
6104 AVENUE Q SOUTH DR |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202999 | Timothy A Mazzolini | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2005-08-10 |
| 1316567670 | Wanda Jean Howard | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-04-16 |
| 1760014112 | Fabian Carmona | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-02-04 |
| 1346807708 | Andrea Rochelle Carrillo | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-05-21 |
| 1205394285 | Courtney E Walraven | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-03-07 |
| 1487120283 | Ericka Ann Comer | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-18 |
| 1003382078 | Malory Shanks | Nurse Practitioner | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-17 |
| 1891271524 | Beverly Lynn Jones | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-07-16 |
| 1699210237 | Frances Shaw | Physical Therapist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-05 |
| 1437694130 | Brittney Marie Williamson | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| 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 |
|---|---|---|---|---|
| 1396191862 | Med Creations,llc | Department of Veterans Affairs (VA) Pharmacy | 3218 Beltline Rd, Suite 510, Farmers Branch, TX 75234 | 2016-05-13 |
| 1972948891 | Azuart Dme LLC | Department of Veterans Affairs (VA) Pharmacy | 1006 San Francisco St, San Juan, TX 78589-3816 | 2013-05-06 |
| 1043461353 | Kvg Enterprises Inc | Department of Veterans Affairs (VA) Pharmacy | 1014 A North Fielder Road, Arlington, TX 76015 | 2008-10-06 |
| 1528222551 | Houston Vamc | Department of Veterans Affairs (VA) Pharmacy | 2206 N. John Redditt Dr., Lufkin, TX 75904 | 2008-07-18 |
| 1184672941 | Lancaster Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 2962 S Longhorn Dr, Lancaster, TX 75134-2118 | 2006-05-04 |
| 1740248673 | El Paso Vamc | Department of Veterans Affairs (VA) Pharmacy | 5001 N Piedras, El Paso, TX 79930-4210 | 2006-05-02 |
| 1871551606 | San Antonio Vamc | Department of Veterans Affairs (VA) Pharmacy | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2006-05-02 |
| 1679891998 | Harlingen Vamc | Department of Veterans Affairs (VA) Pharmacy | 205 S Enterprize Pkwy, Corpus Christi, TX 78405-4118 | 2010-05-11 |
| 1124346440 | Harlingen Vamc | Department of Veterans Affairs (VA) Pharmacy | 2106 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2010-05-11 |
| 1760700082 | Harlingen Vamc | Department of Veterans Affairs (VA) Pharmacy | 901 East Hackberry Ave, Mcallen, TX 78501-6502 | 2010-05-11 |
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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.