ORLANDO VAMC (NPI# 1083947048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083947048 |
| Entity Type | Organization |
| Organization Name | ORLANDO VAMC |
| Other Organization Name | DAYTONA BEACH VA CBOC PHARMACY |
| Practice Address |
551 National Health Care Dr Daytona Beach FL 32114-1495 |
| Mailing Address |
Po Box 140815 Orlando FL 32814-0815 |
| Practice Telephone | 3863237500 |
| Practice Fax Number | 4075139821 |
| Mailing Telephone | 4076224225 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2019-02-12 |
| 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 |
|---|---|---|---|
| NCPDP# | 1048645 | 01 |
| Other Name | Type Code |
|---|---|
| DAYTONA BEACH VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| 1295195501 | Orlando Vamc | Psychiatric Residential Treatment Facility | 13800 Veterans Way, Orlando, FL 32827-7403 | 2016-02-29 |
| 1043605900 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2015-03-30 |
| 1407244775 | Orlando Vamc | Clinic/Center | 925 S Semoran Blvd, Suites 112, 114 and 120, Winter Park, FL 32792-5313 | 2015-01-08 |
| 1972991016 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2014-12-23 |
| 1245628387 | Orlando Vamc | Clinic/Center | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-12-23 |
| 1558796409 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 5201 Raymond St, Orlando, FL 32803-8208 | 2013-09-11 |
| 1255616702 | Orlando Vamc | Clinic/Center | 5201 Raymond St, Orlando, FL 32803-8208 | 2011-10-17 |
| Street Address |
551 NATIONAL HEALTH CARE DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154318483 | John S Zwirz | Pharmacist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2005-10-03 |
| 1134720428 | Enereida Ramos Rodriguez | Social Worker | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-11-04 |
| 1457965477 | Amie Thu Nguyen | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-09-08 |
| 1548884448 | Jessica Maya Doyle | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-06-05 |
| 1770122921 | Rosa A Arndt | Registered Nurse | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-01-04 |
| 1487213211 | Alely Hostia | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2019-06-05 |
| 1780145482 | Jeffrey Kyle Wells | Student in an Organized Health Care Education/Training Program | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2019-03-26 |
| 1689141889 | Kiri J Rutledge | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-26 |
| 1497222772 | Madeline Coughlin | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-25 |
| 1013484260 | Shanelle Jenkins | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1043439292 | Emory L Bennett Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2007-04-25 |
| 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 |
| 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 |
| 1891743134 | Biloxi Vamc | Department of Veterans Affairs (VA) Pharmacy | 790 Veterans Way, Pensacola, FL 32507-1000 | 2006-05-05 |
| 1972551323 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.