FAYETTEVILLE VAMC (NPI# 1831438381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831438381 |
Entity Type | Organization |
Organization Name | FAYETTEVILLE VAMC |
Other Organization Name | WILMINGTON NC VA CLINIC PHARMACY |
Practice Address |
1705 Gardner Road Wilmington NC 28405-8873 |
Mailing Address |
Po Box 89494 Cleveland OH 44101-6494 |
Practice Telephone | 9103435300 |
Practice Fax Number | 9102544055 |
Mailing Telephone | 8282572333 |
Enumeration Date | 2013-02-04 |
Last Update Date | 2020-07-01 |
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 |
---|---|---|---|
NCPDP | 3461403 | 01 |
Other Name | Type Code |
---|---|
WILMINGTON NC VA CLINIC PHARMACY | Other Name - Individual/Organization |
WILMINGTON VA CBOC PHARMACY | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992264824 | Fayetteville Vamc | Clinic/Center | 3015 Connecticut Ave, Joplin, MO 64804-3035 | 2019-03-19 |
1659879138 | Fayetteville Vamc | Clinic/Center | 4 Josh Ct, Jacksonville, NC 28546-0052 | 2018-01-30 |
1194256362 | Fayetteville Vamc | Clinic/Center | 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 | 2017-03-21 |
1528456811 | Fayetteville Vamc | Clinic/Center | 216 East Township Street, Fayetteville, AR 72703-2818 | 2015-01-08 |
1124422308 | Fayetteville Vamc | Clinic/Center | 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 | 2014-10-16 |
1962819052 | Fayetteville Vamc | Clinic/Center | 18 Doctors Cir Ste 2, Supply, NC 28462-4089 | 2014-07-21 |
1114270212 | Fayetteville Vamc | Clinic/Center | 3112 Tramway Road, Sanford, NC 27332-9998 | 2012-10-26 |
1912201146 | Fayetteville Vamc | Clinic/Center | 139 Three Hunts Drive, Pembroke, NC 28372-6800 | 2011-01-03 |
1831415751 | Fayetteville Vamc | Clinic/Center | 2713 W Commercial St, Ozark, AR 72949-3409 | 2010-04-16 |
1568417798 | Fayetteville Vamc | Clinic/Center | 4006 Henderson Drive, Jacksonville, NC 28546-9998 | 2006-05-24 |
Street Address |
1705 GARDNER ROAD |
City | WILMINGTON |
State | NC |
Zip Code | 28405-8873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578548160 | Andrew J Vitt | Pharmacist | 1705 Gardner Road, Veterans Affairs Health Care Center, Wilmington, NC 28405 | 2005-12-07 |
1124487319 | Vamc 565 Wilmington Hcc | Clinic/Center | 1705 Gardner Road, Va Pharmacy, Wilmington, NC 28405 | 2016-02-16 |
1477998854 | Justin Daniel Le Duc | Social Worker | 1705 Gardner Road, Wilmington, NC 28405-8075 | 2013-04-30 |
1043253156 | Fayetteville Vamc | Clinic/Center | 1705 Gardner Road, Wilmington, NC 28405-8873 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
Find all providers in zip 28405 |
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 |
---|---|---|---|---|
1003864208 | Wilmington Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245693050 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 3506 W Tyvola Road, Charlotte, NC 28208 | 2016-03-30 |
1699146019 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2015-10-12 |
1225432248 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 401 Moye Blvd, Greenville, NC 27834-2885 | 2014-10-20 |
1912162330 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 8601 University East Dr, Charlotte, NC 28213 | 2008-07-24 |
1922056555 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-05-05 |
1982652723 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 1695 Kernersville Medical Pkwy, Kernersville, NC 27284 | 2006-05-04 |
1952369886 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 508 Fulton St, Durham, NC 27705-3875 | 2006-05-02 |
1871551713 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-05-02 |
1417914508 | Asheville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1100 Tunnel Rd, Asheville, NC 28805 | 2006-05-01 |
City | WILMINGTON |
Zip Code | 28405 |
Please comment or provide details below to improve the information on FAYETTEVILLE 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.