COATESVILLE VAMC (NPI# 1790743706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790743706 |
| Entity Type | Organization |
| Organization Name | COATESVILLE VAMC |
| Other Organization Name | COATESVILLE VAMC PHARMACY |
| Practice Address |
1400 Blackhorse Hill Rd Coatesville PA 19320-2040 |
| Mailing Address |
Po Box 3003 Lebanon PA 17042-3003 |
| Practice Telephone | 6103847711 |
| Practice Fax Number | 6104662244 |
| Mailing Telephone | 7172776568 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-10-22 |
| 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 |
|---|---|---|---|
| PA | DEA# | AV4724541 | 01 |
| PA | NCPDP# | 3981897 | 01 |
| Other Name | Type Code |
|---|---|
| COATESVILLE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669410635 | Coatesville Vamc | Clinic/Center | 11 Independence Dr, Spring City, PA 19475-1239 | 2006-06-03 |
| 1932146891 | Coatesville Vamc | Clinic/Center | 4883 West Chester Pike, Newton Square, PA 19073 | 2006-06-01 |
| 1043670516 | Coatesville Vamc | Psychiatric Residential Treatment Facility | 1400 Blackhorse Hill Rd, 04-c, Coatesville, PA 19320-2040 | 2016-02-26 |
| 1669422192 | Coatesville Vamc | Medicare Defined Swing Bed Unit | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-05-12 |
| Street Address |
1400 BLACKHORSE HILL RD |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926177 | Julia Ann Stone | Psychologist | 1400 Blackhorse Hill Rd, Coatesville Va Medical Center, Coatesville, PA 19320-2040 | 2005-07-20 |
| 1700485356 | Abegale Lizabeth Nelson | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1427657154 | Amy Andreaggi | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1710592464 | Maura Marchese | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-09-10 |
| 1902441157 | Ashley Sutton | Psychologist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-11-12 |
| 1548823339 | Brent Jeffery Jenkins | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-17 |
| 1689237646 | Allison Webster | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-16 |
| 1063984086 | Gina Lucchesi | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2096 | 2019-01-02 |
| 1700358033 | Brian Joseph Walters | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-27 |
| 1386115418 | Lori Ann Rathman | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| 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 |
|---|---|---|---|---|
| 1215323746 | Hanger Prosthetics & Orthotics Inc | Department of Veterans Affairs (VA) Pharmacy | 500 Market St, Suite 105, West Bridgewater, PA 15009-2998 | 2015-04-10 |
| 1467401299 | Pittsburgh Vamc | Department of Veterans Affairs (VA) Pharmacy | University Drive C, Pittsburgh, PA 15240-1000 | 2006-05-09 |
| 1124077144 | Philadelphia Vamc | Department of Veterans Affairs (VA) Pharmacy | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-08 |
| 1144278342 | Wilkes Barre Vamc | Department of Veterans Affairs (VA) Pharmacy | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-05-04 |
| 1861440885 | Pittsburgh Vamc | Department of Veterans Affairs (VA) Pharmacy | 1010 Delafield Rd, Aspinwall, PA 15215-1802 | 2006-05-04 |
| 1578521365 | Lebanon Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-02 |
| 1558329599 | Altoona Vamc | Department of Veterans Affairs (VA) Pharmacy | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2006-05-01 |
| 1649238759 | Butler Vamc | Department of Veterans Affairs (VA) Pharmacy | 353 N Duffy Rd, Butler, PA 16001-1138 | 2006-05-01 |
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on COATESVILLE 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.