NORTHPORT VAMC


Address: 79 Middleville Rd, Northport, NY 11768-2200
Phone: 6312614400

NORTHPORT VAMC (NPI# 1659339265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332100000X Department of Veterans Affairs (VA) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY NCPDP# 3322687 01

Other Provider/Organization Names

Other Name Type Code
NORTHPORT VAMC PHARMACY Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 79 MIDDLEVILLE RD
City NORTHPORT
State NY
Zip Code 11768-2200

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332100000X
Grouping Suppliers
Classification Department of Veterans Affairs (VA) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

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City NORTHPORT
Zip Code 11768

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Dataset Information

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.

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