WILKES BARRE VAMC


Address: 1111 E End Blvd, Wilkes Barre, PA 18711-0030
Phone: 5708243521

WILKES BARRE VAMC (NPI# 1144278342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144278342
Entity Type Organization
Organization Name WILKES BARRE VAMC
Other Organization Name WILKES BARRE VAMC PHARMACY
Practice Address 1111 E End Blvd
Wilkes Barre
PA 18711-0030
Mailing Address Po Box 3009
Lebanon
PA 17042-3009
Practice Telephone 5708243521
Practice Fax Number 5708217236
Mailing Telephone 7172776568
Enumeration Date 2006-05-04
Last Update Date 2019-07-25
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332100000X Department of Veterans Affairs (VA) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA NCPDP# 3969269 01

Other Provider/Organization Names

Other Name Type Code
WILKES BARRE VAMC PHARMACY Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740224971 Wilkes Barre Vamc Clinic/Center Tobyhanna Army Depot, Bldg 220, Tobyhanna, PA 18466-5002 2006-06-16
1922059591 Wilkes Barre Vamc Clinic/Center 26 Columbia Mall Drive, Bloomsburg, PA 17815-9998 2006-05-16
1205209822 Wilkes Barre Vamc Clinic/Center 600 Maple Ave Ste 2, Honesdale, PA 18431-1436 2015-11-04
1366639973 Wilkes Barre Vamc Clinic/Center 701 Slate Belt Blvd, Bangor, PA 18013-9341 2007-09-27
1750321527 Wilkes Barre Vamc Clinic/Center 1705 Warren Ave, 3rd Floor (suite 304), Williamsport, PA 17701-2647 2006-06-08
1669410262 Wilkes Barre Vamc Clinic/Center 1537 Elmira St, Sayre, PA 18840-9254 2006-06-04
1053362145 Wilkes Barre Vamc Clinic/Center 3110 Hamilton Blvd, Allentown, PA 18103-3672 2006-05-13
1952351967 Wilkes Barre Vamc General Acute Care Hospital 1111 E End Blvd, #17a, Wilkes Barre, PA 18711-0030 2006-05-11

Office Location

Street Address 1111 E END BLVD
City WILKES BARRE
State PA
Zip Code 18711-0030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245295922 Bharat Singh Internal Medicine 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2006-04-18
1083215297 Amie O'malia Recreation Therapist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-11-04
1417557745 Emily Herron Pharmacist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-10-27
1487253910 Sara Jane Skoritowski Pharmacist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-10-26
1215536743 Casondra Smicherko Pharmacist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-10-26
1932708450 Laura Mowery Pharmacist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-10-26
1720697741 Lori A Miller Social Worker 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-07-27
1477179588 Stephanie Renee Ward Registered Nurse 1111 E End Blvd, Wilkes Barre, PA 18711-0026 2020-06-24
1538783246 Matthew Brian Banford Occupational Therapist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-05-29
1285269217 Arielle Burkavage Dentist 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2020-03-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
Find all providers in zip 18711

Taxonomy Information

Taxonomy Code 332100000X
Grouping Suppliers
Classification Department of Veterans Affairs (VA) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215323746 Hanger Prosthetics & Orthotics Inc Department of Veterans Affairs (VA) Pharmacy 500 Market St, Suite 105, West Bridgewater, PA 15009-2998 2015-04-10
1467401299 Pittsburgh Vamc Department of Veterans Affairs (VA) Pharmacy University Drive C, Pittsburgh, PA 15240-1000 2006-05-09
1124077144 Philadelphia Vamc Department of Veterans Affairs (VA) Pharmacy 3900 Woodland Ave, Philadelphia, PA 19104-4551 2006-05-08
1861440885 Pittsburgh Vamc Department of Veterans Affairs (VA) Pharmacy 1010 Delafield Rd, Aspinwall, PA 15215-1802 2006-05-04
1790743706 Coatesville Vamc Department of Veterans Affairs (VA) Pharmacy 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2006-05-02
1578521365 Lebanon Vamc Department of Veterans Affairs (VA) Pharmacy 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2006-05-02
1558329599 Altoona Vamc Department of Veterans Affairs (VA) Pharmacy 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 2006-05-01
1649238759 Butler Vamc Department of Veterans Affairs (VA) Pharmacy 353 N Duffy Rd, Butler, PA 16001-1138 2006-05-01

Competitor

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City WILKES BARRE
Zip Code 18711

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Dataset Information

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.

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