BALTIMORE VAMC (NPI# 1164480596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164480596 |
| Entity Type | Organization |
| Organization Name | BALTIMORE VAMC |
| Other Organization Name | BALTIMORE VAMC PHARMACY |
| Practice Address |
10 N Greene St Baltimore MD 21201-1524 |
| Mailing Address |
Po Box 89411 Cleveland OH 44101-6411 |
| Practice Telephone | 4106057000 |
| Practice Fax Number | 4106057781 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | ERIN DENISE 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 |
|---|---|---|---|
| MD | NCPDP# | 2122036 | 01 |
| Other Name | Type Code |
|---|---|
| BALTIMORE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245380872 | Baltimore Vamc | Clinic/Center | 5235 King Ave Ste 200, Rosedale, MD 21237-4068 | 2007-01-12 |
| 1326087719 | Baltimore Vamc | Clinic/Center | 1701 Market St, Suite 211, Pocomoke City, MD 21851-1738 | 2006-06-04 |
| 1750331831 | Baltimore Vamc | General Acute Care Hospital | Avenue D #59, Perry Point, MD 21902-1001 | 2006-05-11 |
| 1972551596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 601 Perryville Drive, Perry Point, MD 21902-1111 | 2006-05-05 |
| 1376054429 | Baltimore Vamc | Clinic/Center | 209 W Fayette St, Baltimore, MD 21201-3403 | 2017-10-17 |
| 1811236060 | Baltimore Vamc | Clinic/Center | 2479 5th Street, Fort Meade, MD 20755 | 2013-02-07 |
| 1447206560 | Baltimore Vamc | General Acute Care Hospital | 3901 The Alameda, Baltimore, MD 21218-2100 | 2006-05-26 |
| 1972557304 | Baltimore Vamc | Clinic/Center | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2006-05-20 |
| 1073564688 | Baltimore Vamc | Clinic/Center | 830 Chesapeake Dr, Cambridge, MD 21613-9408 | 2006-05-16 |
| 1083663157 | Baltimore Vamc | General Acute Care Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-08 |
| Street Address |
10 N GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347031 | Deborah Sue Hebert Dlugose | Nurse Anesthetist, Certified Registered | 10 N Greene St, Baltimore, MD 21201-1524 | 2005-09-20 |
| 1134736457 | Alexus Johnson | Social Worker | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-09-30 |
| 1700499134 | Ozioma Erondu | Nurse Practitioner | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-25 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1033729330 | La'quana Hussey | Social Worker | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-03 |
| 1619585825 | Sarah Beth Neser | Nurse Practitioner | 10 N Greene St, Bt/18/gr, Baltimore, MD 21201-1524 | 2020-07-14 |
| 1184242109 | Claire Regan | Nurse Practitioner | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-07-07 |
| 1770109738 | Levi Ridgeway | Optometrist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-06-24 |
| 1467078410 | Daniel Shelton Cason | Optometrist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-06-24 |
| 1811513104 | Gail Rachel Bojarski | Optometrist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| 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 |
|---|---|---|---|---|
| 1922101682 | Maryland Cvs Pharmacy L L C | Department of Veterans Affairs (VA) Pharmacy | 1013 Woodbridge Ctr Way, Edgewood, MD 21040 | 2006-09-07 |
| 1972551596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 601 Perryville Drive, Perry Point, MD 21902-1111 | 2006-05-05 |
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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.