OKLAHOMA CITY VAMC (NPI# 1750583563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750583563 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CITY VAMC |
| Other Organization Name | LAWTON VA CBOC PHARMACY |
| Practice Address |
4303 Pittman & Thomas Road Bldg 4303 Fort Sill OK 73503-4473 |
| Mailing Address |
Po Box 94537 Cleveland OH 44101-4537 |
| Practice Telephone | 5803516511 |
| Practice Fax Number | 5803516526 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-09-23 |
| 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 |
|---|---|---|---|
| OK | NCPDP | 3723738 | 01 |
| Other Name | Type Code |
|---|---|
| LAWTON VA CBOC PHARMACY | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4303 Pittman & Thomas Road, Building 4303, Fort Sill, OK 735034473 | 4052700501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1275573016 | Oklahoma City Vamc | Clinic/Center | 2600 Central Fwy Ste 180, Wichita Falls, TX 76306-2850 | 2006-06-08 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 1720615610 | Oklahoma City Vamc | Clinic/Center | 2640 Miner Road, Suite 2640, Fort Sill, OK 73503-8889 | 2020-03-23 |
| 1104308824 | Oklahoma City Vamc | Clinic/Center | 1301 Ne 14th St, Oklahoma City, OK 73117-2018 | 2018-08-29 |
| Street Address |
4303 PITTMAN & THOMAS ROAD BLDG 4303 |
| City | FORT SILL |
| State | OK |
| Zip Code | 73503-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| Find all providers in zip 73503 | ||||
| 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 |
|---|---|---|---|---|
| 1386002178 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 7919 Mid America Blvd, Suite 300, Oklahoma City, OK 73135-6610 | 2016-02-08 |
| 1326201138 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 9322 E 41st St, Tulsa, OK 74145-3721 | 2008-07-02 |
| 1043278211 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-05-03 |
| 1770541377 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-03 |
Please comment or provide details below to improve the information on OKLAHOMA CITY 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.