MILWAUKEE VAMC (NPI# 1780019380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780019380 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE VAMC |
| Other Organization Name | GREEN BAY VA CBOC PHARMACY |
| Practice Address |
2851 University Avenue Green Bay WI 54311-0008 |
| Mailing Address |
Po Box 5127 Madison WI 53705-0127 |
| Practice Telephone | 9204312567 |
| Practice Fax Number | 9204312413 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | 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 | 5133943 | 01 |
| Other Name | Type Code |
|---|---|
| GREEN BAY 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 |
| 1669643912 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 Tri Park Way, Appleton, WI 54914-1658 | 2008-03-14 |
| 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 |
2851 UNIVERSITY AVENUE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-0008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| 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 |
|---|---|---|---|---|
| 1669643912 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 Tri Park Way, Appleton, WI 54914-1658 | 2008-03-14 |
| 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 |
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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.