GAINESVILLE VAMC (NPI# 1720036296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720036296 |
| Entity Type | Organization |
| Organization Name | GAINESVILLE VAMC |
| Other Organization Name | TALLAHASSEE VA CLINIC PHARMACY |
| Practice Address |
2181 Orange Ave E Tallahassee FL 32311-6144 |
| Mailing Address |
Po Box 140794 Orlando FL 32814-0794 |
| Practice Telephone | 8505137377 |
| Practice Fax Number | 8505138013 |
| Mailing Telephone | 4076224142 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-09-04 |
| 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 |
|---|---|---|---|
| FL | NCDPDP# | 1007120 | 01 |
| Other Name | Type Code |
|---|---|
| TALLAHASSEE VA CLINIC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1194123430 | Gainesville Vamc | Clinic/Center | 620 Northwest 16th Street, Gainesville, FL 32601-4034 | 2014-12-19 |
| 1003214347 | Gainesville Vamc | Clinic/Center | 3401 Northwest 98th Street, Gainesville, FL 32606-5207 | 2014-12-19 |
| 1306886791 | Gainesville Vamc | Clinic/Center | 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 | 2006-06-07 |
| 1295772747 | Gainesville Vamc | Clinic/Center | 1515 E Silver Springs Blvd Ste 226, Ocala, FL 34470-6856 | 2006-06-01 |
| 1437627015 | Gainesville Vamc | Clinic/Center | 484 Sw Commerce Dr, Lake City, FL 32025-1507 | 2018-11-13 |
| 1174983480 | Gainesville Vamc | Psychiatric Residential Treatment Facility | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2016-02-29 |
| 1376910968 | Gainesville Vamc | Clinic/Center | 1224 N Peacock Ave, Perry, FL 32347-2117 | 2015-08-31 |
| 1821464314 | Gainesville Vamc | Clinic/Center | 3901 University Blvd. South, Jacksonville, FL 32216-4312 | 2015-08-19 |
| Street Address |
2181 ORANGE AVE E |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32311-6144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435007 | Kelsie Sommerfeld | Optometrist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2020-07-27 |
| 1285252320 | Anjali J Raichura | Optometrist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2020-07-06 |
| 1073167151 | Rebecca Lassley | Optometrist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2019-07-28 |
| 1083195697 | Melissa Therese Hautea Paragas | Optometrist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2018-08-22 |
| 1821576927 | Alyssa Kathleen Batistine | Optometrist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2018-07-31 |
| 1346737863 | Joanna St. John | Dietitian, Registered | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2018-04-19 |
| 1346751112 | Diana Marshall | Psychologist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2017-10-19 |
| 1821513391 | Kathryn Augustine | Pharmacist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2017-08-07 |
| 1912427105 | Stephanie Beckingham | Social Worker | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2017-06-20 |
| 1134658834 | Adrian Murray | Psychologist | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612486 | Christopher Bouyer | Social Worker | 3909 Reserve Drive, 525, Tallahassee, FL 32311 | 2018-03-12 |
| 1487184354 | Felicia Denise Cooper I | Nurse Practitioner | 1033 High Meadow Drive, Tallahassee, FL 32311 | 2017-06-14 |
| 1447599394 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1970 Gainsborough Drive, Suite 2, Tallahassee, FL 32311 | 2013-02-12 |
| 1811139090 | Kathy L Lee | Psychiatry & Neurology | 3592 Mossy Creek Ln, Tallahassee, FL 32311 | 2009-04-02 |
| 1376713248 | Kathryn B Lord | Psychologist | 3045 Dickinson Dr, Tallahassee, FL 32311 | 2008-03-07 |
| 1235200031 | Heritage Family Care,llc | Family Medicine | 1910 Hillbrook Trail, Suite 2, Tallahassee, FL 32311 | 2006-11-13 |
| 1215047675 | Board of County Commissioners Leon County | Ambulance | 911 Easterwood Dr, Tallahassee, FL 32311 | 2006-08-30 |
| 1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
| 1275055378 | Punita Kapadia | Optometrist | 3535 Apalachee Pkwy, Tallahassee, FL 32311 | 2017-07-10 |
| 1912354283 | Daniel Bernabe Jr. | Family Medicine | 3900 Esplanade Way, Tallahassee, FL 32311 | 2016-05-17 |
| Find all providers in zip 32311 | ||||
| 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 |
|---|---|---|---|---|
| 1003465691 | Potenza Services Inc | Department of Veterans Affairs (VA) Pharmacy | 10711 Sw 216th St Ste 100-206, Miami, FL 33170-3139 | 2019-09-06 |
| 1821653080 | Tampa Vamc | Department of Veterans Affairs (VA) Pharmacy | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-05-03 |
| 1558796409 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 5201 Raymond St, Orlando, FL 32803-8208 | 2013-09-11 |
| 1245549930 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-09-29 |
| 1548593502 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 2900 Veterans Way, Viera, FL 32940-8007 | 2009-09-09 |
| 1083947048 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2009-09-09 |
| 1811220874 | Orlando Vamc | Department of Veterans Affairs (VA) Pharmacy | 13800 Veterans Way, Orlando, FL 32827-7403 | 2009-09-09 |
| 1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
| 1043439292 | Emory L Bennett Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2007-04-25 |
| 1891743134 | Biloxi Vamc | Department of Veterans Affairs (VA) Pharmacy | 790 Veterans Way, Pensacola, FL 32507-1000 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32311 |
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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.