NORTHPORT VAMC (NPI# 1659339265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659339265 |
Entity Type | Organization |
Organization Name | NORTHPORT VAMC |
Other Organization Name | NORTHPORT VAMC PHARMACY |
Practice Address |
79 Middleville Rd Northport NY 11768-2200 |
Mailing Address |
Po Box 3023 Lebanon PA 17042-3023 |
Practice Telephone | 6312614400 |
Practice Fax Number | 6317547917 |
Mailing Telephone | 6312614400 |
Mailing Fax Number | 6317547917 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-10-16 |
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 |
---|---|---|---|
NY | NCPDP# | 3322687 | 01 |
Other Name | Type Code |
---|---|
NORTHPORT VAMC PHARMACY | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821044116 | Northport Vamc | Clinic/Center | 99 S Central Ave, Valley Stream, NY 11580-5409 | 2006-05-26 |
1215982897 | Northport Vamc | Clinic/Center | 132 E Main St, Bay Shore, NY 11706-8302 | 2006-05-23 |
1508264151 | Northport Vamc | Clinic/Center | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-12-15 |
1326446972 | Northport Vamc | Clinic/Center | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-12-15 |
1164519484 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, 116a, Northport, NY 11768-2200 | 2006-10-06 |
1700820438 | Northport Vamc | Clinic/Center | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2006-06-15 |
1013955566 | Northport Vamc | Clinic/Center | 2201 Hempstead Tpke, Building Q, East Meadow, NY 11554-1859 | 2006-06-04 |
1841238862 | Northport Vamc | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-06-03 |
1033169412 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, Bldg 200, Northport, NY 11768-2200 | 2006-05-10 |
Street Address |
79 MIDDLEVILLE RD |
City | NORTHPORT |
State | NY |
Zip Code | 11768-2200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
1225636020 | Jessie Ryan Poznack | Pathology | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-10-14 |
1356958094 | Alex Myunghwan Shin | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-27 |
1407460470 | Kimberly Ann Smith | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-07 |
1790398634 | Simrit Kaur Virk | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-29 |
1700499670 | Christine Palathinkal | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-28 |
1235748252 | Valerie Marie Campos | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-27 |
1124636634 | Da Som Kim | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-21 |
1518584341 | Irene Sofia Koutsidis | Social Worker | 79 Middleville Rd, Northport, NY 11768-2296 | 2020-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
Find all providers in zip 11768 |
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 |
---|---|---|---|---|
1629237938 | Kevko Solutions Dba Access Solutions Inc | Department of Veterans Affairs (VA) Pharmacy | 525 Aero Drive, Cheektowaga, NY 14225-1405 | 2008-06-03 |
1740238252 | Buffalo Vamc | Department of Veterans Affairs (VA) Pharmacy | 3495 Bailey Ave # 119, Buffalo, NY 14215 | 2006-05-05 |
1063460798 | Montrose Vamc | Department of Veterans Affairs (VA) Pharmacy | 2094 Albany Post Rd., Route 9a, Montrose, NY 10548-1454 | 2006-05-05 |
1225086325 | Montrose Vamc | Department of Veterans Affairs (VA) Pharmacy | Route 9d North, Castle Point, NY 12511-0001 | 2006-05-04 |
1164480273 | Buffalo Vamc | Department of Veterans Affairs (VA) Pharmacy | 400 Fort Hill Ave # 119-b, Canandaigua, NY 14424-1159 | 2006-05-01 |
1457309049 | New York Vamc | Department of Veterans Affairs (VA) Pharmacy | 423 E 23rd St, New York, NY 10010-5011 | 2006-05-05 |
1134177694 | New York Vamc | Department of Veterans Affairs (VA) Pharmacy | 17900 Linden Blvd, Jamaica, NY 11434-1468 | 2006-05-05 |
1922066109 | Buffalo Vamc | Department of Veterans Affairs (VA) Pharmacy | 465 Westfall Rd, Rochester, NY 14620-4645 | 2006-05-03 |
1952368078 | Buffalo Vamc | Department of Veterans Affairs (VA) Pharmacy | 76 Veterans Ave, Bath, NY 14810-0810 | 2006-05-01 |
1821056995 | Bronx Vamc | Department of Veterans Affairs (VA) Pharmacy | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 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.