MILWAUKEE VAMC (NPI# 1669643912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669643912 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE VAMC |
| Other Organization Name | APPLETON VA CBOC PHARMACY |
| Practice Address |
10 Tri Park Way Appleton WI 54914-1658 |
| Mailing Address |
Po Box 5127 Madison WI 53705-0127 |
| Practice Telephone | 9208310070 |
| Practice Fax Number | 9208317928 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | MS. 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 |
|---|---|---|---|
| NCPDP | 5128649 | 01 |
| Other Name | Type Code |
|---|---|
| APPLETON VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| 1821490012 | Milwaukee Vamc | Psychologist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-09-19 |
| 1780019380 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 2851 University Avenue, Green Bay, WI 54311-0008 | 2013-09-13 |
| 1326087222 | Milwaukee Vamc | Clinic/Center | 21425 Spring St, Union Grove, WI 53182-9707 | 2006-06-06 |
| 1609828748 | Milwaukee Vamc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-05-17 |
| 1518918705 | Milwaukee Vamc | Clinic/Center | 10 Tri Park Way, Appleton, WI 54914-1658 | 2006-05-13 |
| 1073563417 | Milwaukee Vamc | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-10 |
| 1972561645 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-03 |
| Street Address |
10 TRI PARK WAY |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256920 | Bonnie J Mccluskey | Registered Nurse | 10 Tri Park Way, Appleton, WI 54914-1658 | 2005-06-21 |
| 1003446089 | Mindee Juve | Psychologist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2020-01-18 |
| 1366080590 | Tiffany Ramsey | Dietitian, Registered | 10 Tri Park Way, Appleton, WI 54914-1658 | 2019-12-18 |
| 1558843581 | Nichole Duchow | Social Worker | 10 Tri Park Way, Appleton, WI 54914-1658 | 2018-09-06 |
| 1922515378 | Sarah Corinne Martinez | Social Worker | 10 Tri Park Way, Appleton, WI 54914-1658 | 2018-01-08 |
| 1184147340 | Brenda Melnarik | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2017-07-19 |
| 1770018004 | Laura Gaworski | Psychologist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2017-04-24 |
| 1811448731 | Stephanie Friedman | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2016-10-14 |
| 1174072789 | Cassandra Bandow | Clinic/Center | 10 Tri Park Way, Appleton, WI 54914-1658 | 2016-09-23 |
| 1215323985 | Wendy Antoine | Pharmacist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1780019380 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 2851 University Avenue, Green Bay, WI 54311-0008 | 2013-09-13 |
| 1598713778 | Tomah Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-05-04 |
| 1033177787 | Madison Vamc | Department of Veterans Affairs (VA) Pharmacy | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-05-03 |
| 1972561645 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-03 |
Please comment or provide details below to improve the information on MILWAUKEE 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.