FAYETTEVILLE VAMC (NPI# 1871551713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871551713 |
| Entity Type | Organization |
| Organization Name | FAYETTEVILLE VAMC |
| Other Organization Name | FAYETTEVILLE NC VAMC PHARMACY |
| Practice Address |
2300 Ramsey St Fayetteville NC 28301-3856 |
| Mailing Address |
Po Box 89494 Cleveland OH 44101-6494 |
| Practice Telephone | 9104882120 |
| Practice Fax Number | 9108227945 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-11-19 |
| 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 |
|---|---|---|---|
| NC | NCPDP# | 3429417 | 01 |
| Other Name | Type Code |
|---|---|
| FAYETTEVILLE NC VAMC PHARMACY | Other Name - Individual/Organization |
| FAYETTEVILLE VAMC 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 |
2300 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971587 | Nwaobiara Obi-gwacham | Internal Medicine | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2005-06-09 |
| 1669072492 | Linda Xiong | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-30 |
| 1861092082 | Teresa Wells | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-27 |
| 1528666781 | Amina Chaudhry | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-11 |
| 1356957526 | Ashley R Parker | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-22 |
| 1295341014 | Andrea Bell Jones | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-17 |
| 1770199614 | Tara Anne Bright | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-16 |
| 1578177465 | Shani Marcay Hamilton | Respiratory Therapist, Registered | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-08 |
| 1356969562 | Makenzie Lea Benton | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-07-14 |
| 1942826490 | Jenna Sedberry | Dentist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 1699146019 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2015-10-12 |
| 1508824434 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245693050 | Salisbury Vamc | Department of Veterans Affairs (VA) Pharmacy | 3506 W Tyvola Road, Charlotte, NC 28208 | 2016-03-30 |
| 1225432248 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 401 Moye Blvd, Greenville, NC 27834-2885 | 2014-10-20 |
| 1831438381 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1705 Gardner Road, Wilmington, NC 28405-8873 | 2013-02-04 |
| 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 |
| 1417914508 | Asheville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1100 Tunnel Rd, Asheville, NC 28805 | 2006-05-01 |
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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.