SPOKANE VAMC (NPI# 1962450122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450122 |
| Entity Type | Organization |
| Organization Name | SPOKANE VAMC |
| Other Organization Name | SPOKANE VAMC PHARMACY |
| Practice Address |
4815 N Assembly St Spokane WA 99205 |
| Mailing Address |
Po Box 94421 Cleveland OH 44101-4421 |
| Practice Telephone | 5094347011 |
| Practice Fax Number | 5094347111 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-09-22 |
| 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 |
|---|---|---|---|
| WA | NCPDP# | 4912792 | 01 |
| Other Name | Type Code |
|---|---|
| SPOKANE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609044478 | Spokane Vamc | Clinic/Center | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2008-02-14 |
| 1124078969 | Spokane Vamc | General Acute Care Hospital | N. 4815 Assembly, Spokane, WA 99205-6185 | 2006-05-11 |
| 1871968040 | Spokane Vamc | Clinic/Center | 4815 N Assembly St, Spokane, WA 99205-6185 | 2015-12-14 |
| 1437540507 | Spokane Vamc | Clinic/Center | 211 E 2nd St, Libby, MT 59923-2047 | 2015-02-11 |
| 1821489907 | Spokane Vamc | Clinic/Center | 705 W 2nd Ave, Spokane, WA 99201-4412 | 2015-02-11 |
| 1316338486 | Spokane Vamc | Clinic/Center | 30410 Highway 200, Ponderay, ID 83852-9601 | 2015-02-11 |
| 1285025361 | Spokane Vamc | Clinic/Center | 203 S Western Ave, Tonasket, WA 98855-8803 | 2015-02-11 |
| 1740477009 | Spokane Vamc | Clinic/Center | 2530 Chester Kimm Rd, Wenatchee, WA 98801-8130 | 2007-10-01 |
| Street Address |
4815 N ASSEMBLY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611396 | Jeffrey John Emery | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2005-06-30 |
| 1831798495 | Keri Ann Abbey | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-23 |
| 1104425479 | Virginia O Bice | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-19 |
| 1457965006 | Jennie Anne Chang | Pharmacist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-09-01 |
| 1346850443 | Anthony Beck | Registered Nurse | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-08-04 |
| 1740899632 | Danne Jo Hudson | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-07-27 |
| 1639790132 | Hannah Song | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-05-06 |
| 1093349482 | Julianne Baldwin | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-25 |
| 1134753643 | Susan Wardrop Ells | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
| 1265066708 | Lori A Ruckhaber | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| 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 |
|---|---|---|---|---|
| 1982740502 | Eanas and Lyle Inc | Department of Veterans Affairs (VA) Pharmacy | 1005 W 9th Ave, Spokane, WA 99204-3025 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255424685 | Portland Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2006-09-30 |
| 1790733285 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 9600 Veterans Dr Sw, Tacoma, WA 98493-0001 | 2006-05-05 |
| 1619925807 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-05-04 |
| 1477501666 | Walla Walla Vamc | Department of Veterans Affairs (VA) Pharmacy | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-05-04 |
Please comment or provide details below to improve the information on SPOKANE 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.