CLARKSBURG VAMC (NPI# 1356399364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356399364 |
| Entity Type | Organization |
| Organization Name | CLARKSBURG VAMC |
| Other Organization Name | CLARKSBURG VAMC PHARMACY |
| Practice Address |
1 Med Center Dr Clarksburg WV 26301-4155 |
| Mailing Address |
Po Box 94436 Cleveland OH 44101-4436 |
| Practice Telephone | 3046233461 |
| Practice Fax Number | 3046237690 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-10-19 |
| 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 |
|---|---|---|---|
| WV | NCPDP# | 5004875 | 01 |
| Other Name | Type Code |
|---|---|
| CLARKSBURG VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| 1619342870 | Clarksburg Vamc | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2015-12-14 |
| 1972753655 | Clarksburg Vamc | Clinic/Center | 40 Commerce Dr, Suite 101, Westover, WV 26501-3874 | 2008-09-30 |
| 1508804964 | Clarksburg Vamc | Clinic/Center | 2311 Ohio Ave, Suite A, Parkersburg, WV 26101-2559 | 2006-06-04 |
| 1295784056 | Clarksburg Vamc | General Acute Care Hospital | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLARKSBURG VAMC | 1 Med Center Dr, Clarksburg, WV 26301-4155 |
| Street Address |
1 MED CENTER DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374694 | Laura Ann Francis | Social Worker | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2020-10-21 |
| 1487267662 | Kelsey Marie Hinzman | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2020-08-26 |
| 1003454133 | Lesa Yvonne Meinze | Social Worker | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2019-12-19 |
| 1255817060 | Mervan Newbold | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2018-07-15 |
| 1689188724 | Morgan Long | Occupational Therapist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-11-28 |
| 1487184586 | Sara Stover | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-06-13 |
| 1508306127 | Gary Farley | Registered Nurse | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-03-01 |
| 1942745476 | Susan Michele Rogers | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-12-19 |
| 1134679798 | Veterans Health Administration | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-10-07 |
| 1003365446 | Anna Besedich | Nurse Practitioner | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1629026414 | Martinsburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2006-05-04 |
| 1104884535 | Beckley Vamc | Department of Veterans Affairs (VA) Pharmacy | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-05-03 |
| 1508824301 | Huntington Vamc | Department of Veterans Affairs (VA) Pharmacy | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2006-05-02 |
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on CLARKSBURG VAMC.
| 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.