CHICAGO VAMC (NPI# 1821046848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821046848 |
| Entity Type | Organization |
| Organization Name | CHICAGO VAMC |
| Other Organization Name | CROWN POINT VA CBOC PHARMACY |
| Practice Address |
9301 Madison St Crown Point IN 46307-7745 |
| Mailing Address |
Po Box 5245 Madison WI 53705-0245 |
| Practice Telephone | 2196625093 |
| Practice Fax Number | 2196625178 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-07-25 |
| 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 |
|---|---|---|---|
| IN | NCPDP# | 1535244 | 01 |
| Other Name | Type Code |
|---|---|
| CROWN POINT VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669860458 | Chicago Vamc | Clinic/Center | 1141 South California Avenue, Chicago, IL 60608-9998 | 2014-12-31 |
| 1568402378 | Chicago Vamc | Clinic/Center | 7731 S Halsted St, Chicago, IL 60620-2412 | 2006-06-08 |
| 1639126535 | Chicago Vamc | Clinic/Center | 211 E Ontario St, 12th Floor, Chicago, IL 60611-3468 | 2006-05-27 |
| 1952354672 | Chicago Vamc | Clinic/Center | 9301 Madison St, Crown Point, IN 46307-7745 | 2006-05-17 |
| 1982656112 | Chicago Vamc | Clinic/Center | 30 E 15th St, Suite 207, Chicago Heights, IL 60411-3459 | 2006-05-16 |
| 1215986047 | Chicago Vamc | General Acute Care Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-05-09 |
| 1518915172 | Chicago Vamc | Department of Veterans Affairs (VA) Pharmacy | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-05-05 |
| Street Address |
9301 MADISON ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556892 | Dawn L Hacker | Family Medicine | 9301 Madison St, Crown Point, IN 46307-7745 | 2005-05-31 |
| 1790392744 | Gregory Scott Bowers | Pharmacist | 9301 Madison St, Crown Point, IN 46307-7745 | 2020-09-24 |
| 1811400757 | Aarika Nicole Gonzalez | Social Worker | 9301 Madison St, Crown Point, IN 46307-7745 | 2017-11-14 |
| 1023485125 | Oshin Safarian | Dentist | 9301 Madison St, Crown Point, IN 46307-7745 | 2015-08-25 |
| 1053659870 | Tiffany Nicole Edwards | Social Worker | 9301 Madison St, Crown Point, IN 46307-7745 | 2013-01-29 |
| 1619240363 | Felicia Renee Jeffers | Physical Medicine & Rehabilitation | 9301 Madison St, Crown Point, IN 46307-7745 | 2012-02-10 |
| 1386899367 | Ramon Medina Gerona Jr. | Physical Therapist | 9301 Madison St, Crown Point, IN 46307-7745 | 2008-11-18 |
| 1952354672 | Chicago Vamc | Clinic/Center | 9301 Madison St, Crown Point, IN 46307-7745 | 2006-05-17 |
| 1528058609 | Alice M Hunter | Nurse Practitioner | 9301 Madison St, Crown Point, IN 46307-7745 | 2005-10-28 |
| 1710976980 | James Harland Kirk | Social Worker | 9301 Madison St, Crown Point, IN 46307-7745 | 2005-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1689193401 | Compass Transportation LLC | Department of Veterans Affairs (VA) Pharmacy | 2920 N Keystone Ave, Indianapolis, IN 46218-6701 | 2017-09-13 |
| 1982662789 | Indianapolis Vamc | Department of Veterans Affairs (VA) Pharmacy | 1481 West 10th Street, Indianapolis, IN 46202 | 2006-05-02 |
| 1851349062 | St. Louis Jc Vamc | Department of Veterans Affairs (VA) Pharmacy | 6211 Waterford Blvd, Evansville, IN 47715-2869 | 2006-05-04 |
| 1457309379 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-04 |
| 1427016369 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-02 |
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on CHICAGO VAMC.
| 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.