GAINESVILLE VAMC (NPI# 1972551323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972551323 |
| Entity Type | Organization |
| Organization Name | GAINESVILLE VAMC |
| Other Organization Name | LAKE CITY VAMC PHARMACY |
| Practice Address |
619 S Marion Ave Lake City FL 32025-5808 |
| Mailing Address |
Po Box 140794 Orlando FL 32814-0794 |
| Practice Telephone | 3867546349 |
| Practice Fax Number | 3523848113 |
| Mailing Telephone | 4076224142 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | MS. 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 |
|---|---|---|---|
| FL | NCPDP# | 1081354 | 01 |
| Other Name | Type Code |
|---|---|
| LAKE CITY VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1194123430 | Gainesville Vamc | Clinic/Center | 620 Northwest 16th Street, Gainesville, FL 32601-4034 | 2014-12-19 |
| 1003214347 | Gainesville Vamc | Clinic/Center | 3401 Northwest 98th Street, Gainesville, FL 32606-5207 | 2014-12-19 |
| 1306886791 | Gainesville Vamc | Clinic/Center | 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 | 2006-06-07 |
| 1295772747 | Gainesville Vamc | Clinic/Center | 1515 E Silver Springs Blvd Ste 226, Ocala, FL 34470-6856 | 2006-06-01 |
| 1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
| 1437627015 | Gainesville Vamc | Clinic/Center | 484 Sw Commerce Dr, Lake City, FL 32025-1507 | 2018-11-13 |
| 1174983480 | Gainesville Vamc | Psychiatric Residential Treatment Facility | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2016-02-29 |
| 1376910968 | Gainesville Vamc | Clinic/Center | 1224 N Peacock Ave, Perry, FL 32347-2117 | 2015-08-31 |
| Street Address |
619 S MARION AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520660 | Kay B Ramnarine | Counselor | 619 S Marion Ave, Lake City, FL 32025-5808 | 2005-09-30 |
| 1104442441 | Danielle Marie Howard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-23 |
| 1427672617 | James Wooley | Recreation Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-03 |
| 1316573611 | Tara S. Keen | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-03-18 |
| 1023653086 | Yen Margaret Dao Barnes | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-11-14 |
| 1790328847 | Brittni Cleland | Dance Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-10-22 |
| 1801447800 | Warrenette Yvette Kelly | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-09-23 |
| 1982263117 | Katherine Susannah Mary Thomas | Optometrist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-06-11 |
| 1952871220 | Michael Canard | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-11-29 |
| 1174009914 | Ashlyn Elizabeth Kerce | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1003465691 | Potenza Services Inc | Department of Veterans Affairs (VA) Pharmacy | 10711 Sw 216th St Ste 100-206, Miami, FL 33170-3139 | 2019-09-06 |
| 1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
| 1821653080 | Tampa Vamc | Department of Veterans Affairs (VA) Pharmacy | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-05-03 |
| 1558796409 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 5201 Raymond St, Orlando, FL 32803-8208 | 2013-09-11 |
| 1245549930 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-09-29 |
| 1548593502 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 2900 Veterans Way, Viera, FL 32940-8007 | 2009-09-09 |
| 1083947048 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2009-09-09 |
| 1811220874 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 13800 Veterans Way, Orlando, FL 32827-7403 | 2009-09-09 |
| 1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
| 1043439292 | Emory L Bennett Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2007-04-25 |
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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.