DANVILLE VAMC (NPI# 1336197284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336197284 |
| Entity Type | Organization |
| Organization Name | DANVILLE VAMC |
| Other Organization Name | PEORIA VA CBOC PHARMACY |
| Practice Address |
7717 N Orange Prairie Rd Peoria IL 61615-9323 |
| Mailing Address |
Po Box 5088 Madison WI 53705-0088 |
| Practice Telephone | 3095896800 |
| Practice Fax Number | 3095896996 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-04-05 |
| 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 |
|---|---|---|---|
| IL | NCPDP# | 1476313 | 01 |
| Other Name | Type Code |
|---|---|
| PEORIA VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426709 | Danville Vamc | Clinic/Center | 207 E Hamilton Rd, Bloomington, IL 61704-7527 | 2019-09-19 |
| 1124071881 | Danville Vamc | Clinic/Center | 792 N Sunnyside Rd, Decatur, IL 62522-1156 | 2006-05-17 |
| 1861725699 | Danville Vamc | Clinic/Center | 501 Lake Land Blvd, Mattoon, IL 61938 | 2009-09-11 |
| 1134163736 | Danville Vamc | Clinic/Center | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-06-15 |
| 1427098243 | Danville Vamc | Clinic/Center | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2006-06-08 |
| 1235177973 | Danville Vamc | Clinic/Center | 5850 S 6th Street Rd, Frontage Road East - Suite A, Springfield, IL 62703-5162 | 2006-06-03 |
| 1326097163 | Danville Vamc | General Acute Care Hospital | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-09 |
| 1508824418 | Danville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-02 |
| Street Address |
7717 N ORANGE PRAIRIE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578520839 | Suzanne Brasche | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-04-28 |
| 1467075101 | Kirsten Hall | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-27 |
| 1003437526 | Ginger Renee Hughes Garner | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-06 |
| 1134680234 | Sydney Jacquelyn Smith | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2019-03-29 |
| 1588131304 | Miranda Myers | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-10-30 |
| 1861975773 | Andrea Joy Eertmoed | Dietitian, Registered | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-09-07 |
| 1861992851 | Heidi Johnson | Registered Nurse | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-02-15 |
| 1831605898 | Jason Lee Fechter | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-12-28 |
| 1790206365 | Holly Catherine Bourgeois | Pharmacist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-07-04 |
| 1790238624 | Kyle Foskett | Psychologist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1033177589 | Madison Vamc | Department of Veterans Affairs (VA) Pharmacy | 816 Featherstone Rd, Rockford, IL 61107-6300 | 2006-05-03 |
| 1114354537 | Emerling Inc | Department of Veterans Affairs (VA) Pharmacy | 102 W Park St, Taylorville, IL 62568-1547 | 2013-09-30 |
| 1700834116 | Hines Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 5000 S 5th Ave, Bldg. 37, Hines, IL 60141-3030 | 2006-05-05 |
| 1518915172 | Chicago Vamc | Department of Veterans Affairs (VA) Pharmacy | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-05-05 |
| 1396793378 | Hines Vamc | Department of Veterans Affairs (VA) Pharmacy | 5000 S 5th Ave, Hines, IL 60141-3030 | 2006-05-04 |
| 1750349429 | St. Louis Jc Vamc | Department of Veterans Affairs (VA) Pharmacy | 2401 W Main St, Marion, IL 62959-1188 | 2006-05-03 |
| 1326006933 | James A Lovell Federal Health Care Center | Department of Veterans Affairs (VA) Pharmacy | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-05-03 |
| 1508824418 | Danville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-02 |
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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.