BOSTON VAMC (NPI# 1811945819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811945819 |
| Entity Type | Organization |
| Organization Name | BOSTON VAMC |
| Other Organization Name | LOWELL VA CBOC PHARMACY |
| Practice Address |
130 Marshall Rd Lowell MA 01852-5130 |
| Mailing Address |
Po Box 3012 Lebanon PA 17042-3012 |
| Practice Telephone | 8573644418 |
| Practice Fax Number | 9786719144 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-10-23 |
| 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 |
|---|---|---|---|
| MA | NCPDP# | 2240238 | 01 |
| Other Name | Type Code |
|---|---|
| LOWELL VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1497851802 | Boston Vamc | General Acute Care Hospital | 150 S Huntington Ave, Boston, MA 02130-4817 | 2006-09-15 |
| 1447290176 | Boston Vamc | Clinic/Center | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-06-08 |
| 1730127952 | Boston Vamc | Clinic/Center | 110 W Squantum St, Quincy, MA 02171-2122 | 2006-06-02 |
| 1184677213 | Boston Vamc | Clinic/Center | 61 Lincoln St, Suite 112, Framingham, MA 01702-8264 | 2006-05-18 |
| 1912958596 | Boston Vamc | Clinic/Center | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-16 |
| 1508815549 | Boston Vamc | General Acute Care Hospital | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-08 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| Street Address |
130 MARSHALL RD |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079668 | Meredith A Enright | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2005-10-31 |
| 1801401336 | Kristin Latino | Occupational Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2020-09-11 |
| 1881119733 | Justin Mayhew | Dietitian, Registered | 130 Marshall Rd, Lowell, MA 01852-5130 | 2017-08-11 |
| 1376786715 | Keiya Angenette Myles | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2009-04-15 |
| 1861681934 | Alexander J Scerbo | Clinical Nurse Specialist | 130 Marshall Rd, Lowell Cboc, Lowell, MA 01852-5130 | 2007-10-15 |
| 1760684955 | Shivani Motkar Reddy | Internal Medicine | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-06-01 |
| 1750509063 | Sun Ok Lee | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-04-23 |
| 1659408235 | Diane F Clinton | Registered Nurse | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-02-28 |
| 1619038015 | Nicole Marie Powell | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-12-12 |
| 1235222019 | Joanne Mary Lyson | Physical Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| 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 |
|---|---|---|---|---|
| 1013965896 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 25 Bond St, Springfield, MA 01104-3401 | 2006-05-04 |
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861440679 | Chelmsford Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2006-05-04 |
| 1528354180 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-22 |
| 1457523201 | Northeast Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-04-01 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| 1720046337 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 421 N Main St, Leeds, MA 01053-9764 | 2006-05-03 |
| 1447218896 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 940 Belmont St, Brockton, MA 02301-5596 | 2006-05-03 |
| 1154388288 | Bedford Vamc | Department of Veterans Affairs (VA) Pharmacy | 200 Springs Rd, Bedford, MA 01730-1114 | 2006-05-01 |
| 1326006461 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 150 South Huntington Ave, Boston, MA 02130-4893 | 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.