RENO VAMC (NPI# 1346208592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346208592 |
| Entity Type | Organization |
| Organization Name | RENO VAMC |
| Other Organization Name | RENO VAMC PHARMACY |
| Practice Address |
975 Kirman Ave Reno NV 89502-0993 |
| Mailing Address |
Po Box 94420 Cleveland OH 44101-4420 |
| Practice Telephone | 7753262735 |
| Practice Fax Number | 7753344103 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-05-03 |
| 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# | 2905466 | 01 |
| Other Name | Type Code |
|---|---|
| RENO VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216618 | Reno Vamc | Clinic/Center | 1140 Selmi Dr, Reno, NV 89512-4780 | 2019-07-09 |
| 1164979225 | Reno Vamc | Clinic/Center | 3674 South Virginia Street, Unit E4, Reno, NV 89502-6015 | 2016-09-07 |
| 1639560600 | Reno Vamc | Clinic/Center | 3298 Traders Way, Winnemucca, NV 89445-3654 | 2015-02-12 |
| 1578954442 | Reno Vamc | Clinic/Center | 350 Capitol Hill Ave, Reno, NV 89502-2923 | 2015-02-12 |
| 1912301102 | Reno Vamc | Clinic/Center | 1201 Corporate Boulevard, Suite 100, Reno, NV 89502-7162 | 2014-10-16 |
| 1336466598 | Reno Vamc | Clinic/Center | 110 Bella Way, Susanville, CA 96130-9102 | 2010-04-28 |
| 1811181639 | Reno Vamc | Clinic/Center | 1020 New River Pkwy Ste 304, Fallon, NV 89406-7811 | 2007-09-05 |
| 1740227644 | Reno Vamc | Clinic/Center | 1330 Waterloo Ln, Gardnerville, NV 89410-5587 | 2006-05-31 |
| 1235581901 | Reno Vamc | Skilled Nursing Facility | 975 Kirman Ave, Reno, NV 89502-0993 | 2016-07-06 |
| 1841681715 | Reno Vamc | Clinic/Center | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2015-02-12 |
| Street Address |
975 KIRMAN AVE |
| City | RENO |
| State | NV |
| Zip Code | 89502-0993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881698421 | Barnali Gupta | Internal Medicine | 975 Kirman Ave, Reno, NV 89502-0993 | 2005-06-10 |
| 1437758117 | Sierra Jordan Sanchez | Social Worker | 975 Kirman Ave, Reno, NV 89502-0997 | 2020-10-22 |
| 1720606171 | Aaron Kim | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-07-13 |
| 1124643754 | Justin Muklewicz | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-06-09 |
| 1376167320 | Carmen Marie Honnef | Dietitian, Registered | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-06-05 |
| 1407479074 | Craig Ratliff | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-05-18 |
| 1083234793 | Nhien Nguyen | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-04-22 |
| 1053947242 | Keilana Melissa Fisher | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0997 | 2020-03-19 |
| 1588297105 | Robert Khoury | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-02-21 |
| 1164069597 | Adam Willett | Social Worker | 975 Kirman Ave, Reno, NV 89502-0997 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| 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 |
|---|---|---|---|---|
| 1063461853 | Las Vegas Vamc | Department of Veterans Affairs (VA) Pharmacy | 6900 N Pecos Rd., North Las Vegas, NV 89086-4400 | 2006-05-09 |
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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.