MADISON VAMC (NPI# 1033177787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033177787 |
| Entity Type | Organization |
| Organization Name | MADISON VAMC |
| Other Organization Name | MADISON VAMC PHARMACY |
| Practice Address |
2500 Overlook Ter Madison WI 53705-2254 |
| Mailing Address |
Po Box 5117 Madison WI 53705-0117 |
| Practice Telephone | 6082561901 |
| Practice Fax Number | 6082807279 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-09-04 |
| 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 |
|---|---|---|---|
| WI | NCPDP# | 5123322 | 01 |
| Other Name | Type Code |
|---|---|
| MADISON VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
| 1972554913 | Madison Vamc | Clinic/Center | 1670 South Blvd., Baraboo, WI 53913-2991 | 2006-05-15 |
| 1033177589 | Madison Vamc | Department of Veterans Affairs (VA) Pharmacy | 816 Featherstone Rd, Rockford, IL 61107-6300 | 2006-05-03 |
| 1558721860 | Madison Vamc | Skilled Nursing Facility | 2500 Overlook Terrace, Madison, WI 53705-2254 | 2016-02-29 |
| 1023425089 | Madison Vamc | Clinic/Center | 1 Science Court, Madison, WI 53711-1055 | 2014-07-22 |
| 1558414987 | Madison Vamc | Clinic/Center | 750 Kiwanis Dr, Suite 250, Freeport, IL 61032-7119 | 2007-01-19 |
| 1174567770 | Madison Vamc | Clinic/Center | 816 Featherstone Rd, Rockford, IL 61107-6300 | 2006-06-15 |
| 1992758254 | Madison Vamc | Clinic/Center | 215 Corporate Dr, Suite B, Beaver Dam, WI 53916-3123 | 2006-05-18 |
| 1275583619 | Madison Vamc | General Acute Care Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-05-10 |
| Street Address |
2500 OVERLOOK TER |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820448 | Diane Marie Conway | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2005-06-01 |
| 1124627310 | Aracely Becerra | Social Worker | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-20 |
| 1679172027 | Christopher James Dietzman | Podiatrist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-17 |
| 1265039846 | Kathryn Ann Jamieson | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-06 |
| 1538766720 | Kevin Charles Cannon | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-01 |
| 1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
| 1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1073127072 | Mackenzie Betancur | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1265043061 | Bradley John Rehrauer | Physical Medicine & Rehabilitation | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-14 |
| 1629688783 | Taylor Iverson | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| 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 |
|---|---|---|---|---|
| 1780019380 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 2851 University Avenue, Green Bay, WI 54311-0008 | 2013-09-13 |
| 1669643912 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 Tri Park Way, Appleton, WI 54914-1658 | 2008-03-14 |
| 1598713778 | Tomah Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-05-04 |
| 1972561645 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-03 |
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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.