LEBANON VAMC (NPI# 1578521365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578521365 |
| Entity Type | Organization |
| Organization Name | LEBANON VAMC |
| Other Organization Name | LEBANON VAMC PHARMACY |
| Practice Address |
1700 S Lincoln Ave Lebanon PA 17042-7529 |
| Mailing Address |
Po Box 3001 Lebanon PA 17042-3001 |
| Practice Telephone | 7172726621 |
| Practice Fax Number | 7172286012 |
| Mailing Telephone | 7172776568 |
| Enumeration Date | 2006-05-02 |
| 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 |
|---|---|---|---|
| PA | NCPDP# | 3981912 | 01 |
| Other Name | Type Code |
|---|---|
| Lebanon VAMC Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184012684 | Lebanon Vamc | Clinic/Center | 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 | 2015-01-06 |
| 1104911379 | Lebanon Vamc | Military Hospital | 1700 Lincoln Ave, Lebanon, PA 17042 | 2006-10-04 |
| 1639117641 | Lebanon Vamc | Clinic/Center | 2762 Century Blvd, Suite 120, Wyomissing, PA 19610-3345 | 2006-06-02 |
| 1265489165 | Lebanon Vamc | Clinic/Center | 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 | 2006-05-27 |
| 1346291937 | Lebanon Vamc | Clinic/Center | 5070 Ritter Rd, Mechanicsburg, PA 17055 | 2006-05-16 |
| 1558558163 | Lebanon Vamc | Clinic/Center | 700 Schuylkill Manor Rd, 2nd Fl Suite 6, Pottsville, PA 17901-3849 | 2007-09-27 |
| 1518901750 | Lebanon Vamc | Clinic/Center | 2251 Eastern Blvd, York, PA 17402-2867 | 2006-06-16 |
| 1124077672 | Lebanon Vamc | Rehabilitation Unit | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-10 |
| Street Address |
1700 S LINCOLN AVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680015 | Michael L Heck Jr. | Nurse Anesthetist, Certified Registered | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2005-09-22 |
| 1972115806 | Carolyn L Ringler | Registered Nurse | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-21 |
| 1962014225 | Tracy Lukasiewicz | Optometrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-18 |
| 1821609512 | Ida Frances Carvell | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-14 |
| 1134730153 | Brandon Cory Vanderbrook | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-13 |
| 1588275671 | Emilie Shuler | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1578174637 | Sybil Irene Stambaugh | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1831700954 | Joseph Magnusson Jr. | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1275150559 | Alexa Nicole Spennato | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-02 |
| 1871110312 | Evan Cauterucci | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1215323746 | Hanger Prosthetics & Orthotics Inc | Department of Veterans Affairs (VA) Pharmacy | 500 Market St, Suite 105, West Bridgewater, PA 15009-2998 | 2015-04-10 |
| 1467401299 | Pittsburgh Vamc | Department of Veterans Affairs (VA) Pharmacy | University Drive C, Pittsburgh, PA 15240-1000 | 2006-05-09 |
| 1124077144 | Philadelphia Vamc | Department of Veterans Affairs (VA) Pharmacy | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-08 |
| 1144278342 | Wilkes Barre Vamc | Department of Veterans Affairs (VA) Pharmacy | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-05-04 |
| 1861440885 | Pittsburgh Vamc | Department of Veterans Affairs (VA) Pharmacy | 1010 Delafield Rd, Aspinwall, PA 15215-1802 | 2006-05-04 |
| 1790743706 | Coatesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-05-02 |
| 1558329599 | Altoona Vamc | Department of Veterans Affairs (VA) Pharmacy | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2006-05-01 |
| 1649238759 | Butler Vamc | Department of Veterans Affairs (VA) Pharmacy | 353 N Duffy Rd, Butler, PA 16001-1138 | 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.