BOSTON VAMC (NPI# 1447218896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447218896 |
| Entity Type | Organization |
| Organization Name | BOSTON VAMC |
| Other Organization Name | BROCKTON VAMC PHARMACY |
| Practice Address |
940 Belmont St Brockton MA 02301-5596 |
| Mailing Address |
Po Box 3012 Lebanon PA 17042-3012 |
| Practice Telephone | 8573644418 |
| Practice Fax Number | 8573642319 |
| Mailing Telephone | 7172776565 |
| 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 |
|---|---|---|---|
| MA | NCPDP# | 2240214 | 01 |
| Other Name | Type Code |
|---|---|
| BROCKTON VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1497851802 | Boston Vamc | General Acute Care Hospital | 150 S Huntington Ave, Boston, MA 02130-4817 | 2006-09-15 |
| 1447290176 | Boston Vamc | Clinic/Center | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-06-08 |
| 1730127952 | Boston Vamc | Clinic/Center | 110 W Squantum St, Quincy, MA 02171-2122 | 2006-06-02 |
| 1184677213 | Boston Vamc | Clinic/Center | 61 Lincoln St, Suite 112, Framingham, MA 01702-8264 | 2006-05-18 |
| 1912958596 | Boston Vamc | Clinic/Center | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-16 |
| 1508815549 | Boston Vamc | General Acute Care Hospital | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-08 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| Street Address |
940 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
| 1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
| 1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
| 1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
| 1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
| 1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
| 1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
| 1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1013965896 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 25 Bond St, Springfield, MA 01104-3401 | 2006-05-04 |
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861440679 | Chelmsford Va Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2006-05-04 |
| 1528354180 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-22 |
| 1457523201 | Northeast Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-04-01 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| 1811945819 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-05-04 |
| 1720046337 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 421 N Main St, Leeds, MA 01053-9764 | 2006-05-03 |
| 1154388288 | Bedford Vamc | Department of Veterans Affairs (VA) Pharmacy | 200 Springs Rd, Bedford, MA 01730-1114 | 2006-05-01 |
| 1326006461 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 150 South Huntington Ave, Boston, MA 02130-4893 | 2006-05-01 |
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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.