LAS VEGAS VAMC (NPI# 1063461853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063461853 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS VAMC |
| Other Organization Name | LAS VEGAS VAMC PHARMACY |
| Practice Address |
6900 N Pecos Rd. North Las Vegas NV 89086-4400 |
| Mailing Address |
Po Box 94408 Cleveland OH 44101-4408 |
| Practice Telephone | 7027919061 |
| Practice Fax Number | 7022246900 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-10-23 |
| 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 |
|---|---|---|---|
| NV | NCPDP# | 2907092 | 01 |
| Other Name | Type Code |
|---|---|
| LAS VEGAS VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670110 | Las Vegas Vamc | Clinic/Center | 3525 W Cheyenne Ave, North Las Vegas, NV 89032-8250 | 2016-10-14 |
| 1821374067 | Las Vegas Vamc | Clinic/Center | 4461 E Charleston Blvd, Las Vegas, NV 89104-5537 | 2011-11-02 |
| 1609159292 | Las Vegas Vamc | Clinic/Center | 3968 N Rancho Drive, Las Vegas, NV 89130-3412 | 2011-09-21 |
| 1043251770 | Las Vegas Vamc | Clinic/Center | 220 South Lola Lane, Pahrump, NV 89048-0835 | 2006-06-10 |
| 1104211069 | Las Vegas Vamc | Clinic/Center | 6900 Pecos Rd, N Las Vegas, NV 89086-4400 | 2015-03-30 |
| 1215339411 | Las Vegas Vamc | Clinic/Center | 3650 South Pointe Circle, Building D Suite 216, Laughlin, NV 89029-0423 | 2014-09-18 |
| 1972886562 | Las Vegas Vamc | Clinic/Center | 1020 S Boulder Hwy, Henderson, NV 89015-8533 | 2011-09-21 |
| 1689955429 | Las Vegas Vamc | Clinic/Center | 7235 S Buffalo Dr, Las Vegas, NV 89113-4040 | 2011-09-07 |
| 1538118989 | Las Vegas Vamc | General Acute Care Hospital | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-05-10 |
| Street Address |
6900 N PECOS RD. |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| 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 |
|---|---|---|---|---|
| 1346208592 | Reno Vamc | Department of Veterans Affairs (VA) Pharmacy | 975 Kirman Ave, Reno, NV 89502-0993 | 2006-05-03 |
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
Please comment or provide details below to improve the information on LAS VEGAS 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.