BRONX VAMC


Address: 130 W Kingsbridge Rd, Bronx, NY 10468-3904
Phone: 7185849000

BRONX VAMC (NPI# 1821056995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821056995
Entity Type Organization
Organization Name BRONX VAMC
Other Organization Name BRONX VAMC PHARMACY
Practice Address 130 W Kingsbridge Rd
Bronx
NY 10468-3904
Mailing Address Po Box 3022
Lebanon
PA 17042-3022
Practice Telephone 7185849000
Practice Fax Number 7187414653
Mailing Telephone 7172776567
Enumeration Date 2006-05-01
Last Update Date 2018-10-23
Authorized Official Name ERIN DENISE POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332100000X Department of Veterans Affairs (VA) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY NCPDP# 3336725 01

Other Provider/Organization Names

Other Name Type Code
BRONX VAMC PHARMACY Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245270065 Bronx Vamc Clinic/Center 23 S Broadway, White Plains, NY 10601-3503 2006-06-08
1023057965 Bronx Vamc Clinic/Center 124 New Main St, Yonkers, NY 10701-4126 2006-06-06
1558309047 Bronx Vamc Clinic/Center 4103 Queens Blvd, Sunnyside, NY 11104-2801 2006-06-04
1700284353 Bronx Vamc Clinic/Center 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2014-12-15
1316996630 Bronx Vamc General Acute Care Hospital 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2006-05-06

Office Location

Street Address 130 W KINGSBRIDGE RD
City BRONX
State NY
Zip Code 10468-3904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811991185 Solomon Nadler Dentist 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2005-06-02
1124628755 Eka Beriashvili Pharmacist 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-11-01
1578170528 Luisa Mejia Radiology 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-09-24
1881208148 Christina Heng Nurse Practitioner 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-09-03
1629687710 Maria Kyritsi Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-07-24
1013525336 Adam Adam Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-07-22
1700494267 Vaishali Geedigunta Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-07-21
1134737786 Gavro Jelic Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-07-20
1255959664 Mirjana Barjaktarovic Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-07-12
1124645171 Olivia Castro Respiratory Therapist, Registered 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2020-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623776 Michalis Georgiou Student in an Organized Health Care Education/Training Program 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 2020-06-08
1184248072 Sindhuja Dogga Student in an Organized Health Care Education/Training Program James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 2020-06-05
1154945434 Ambreen Shahzadi Student in an Organized Health Care Education/Training Program James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 2020-06-03
1912521550 Zara Idrees Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 2020-05-29
1710531256 Ana Samely Maria Registered Nurse 2525 Aqueduct Ave B3, Bronx, NY 10468 2019-08-01
1114496007 Rachel A Squillante Speech-Language Pathologist 2280 Aqueduct Avenue, Bronx, NY 10468 2018-11-20
1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1336628130 Norwood Medical of New York LLC Surgery 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 2018-08-13
1811473721 Okyeniba Medical PC Pediatrics 58 East Kingsbridge Road, Bronx, NY 10468 2018-07-13
1417446840 Amina Khalid Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd., Bronx, NY 10468 2018-05-01
Find all providers in zip 10468

Taxonomy Information

Taxonomy Code 332100000X
Grouping Suppliers
Classification Department of Veterans Affairs (VA) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629237938 Kevko Solutions Dba Access Solutions Inc Department of Veterans Affairs (VA) Pharmacy 525 Aero Drive, Cheektowaga, NY 14225-1405 2008-06-03
1740238252 Buffalo Vamc Department of Veterans Affairs (VA) Pharmacy 3495 Bailey Ave # 119, Buffalo, NY 14215 2006-05-05
1063460798 Montrose Vamc Department of Veterans Affairs (VA) Pharmacy 2094 Albany Post Rd., Route 9a, Montrose, NY 10548-1454 2006-05-05
1225086325 Montrose Vamc Department of Veterans Affairs (VA) Pharmacy Route 9d North, Castle Point, NY 12511-0001 2006-05-04
1164480273 Buffalo Vamc Department of Veterans Affairs (VA) Pharmacy 400 Fort Hill Ave # 119-b, Canandaigua, NY 14424-1159 2006-05-01
1457309049 New York Vamc Department of Veterans Affairs (VA) Pharmacy 423 E 23rd St, New York, NY 10010-5011 2006-05-05
1134177694 New York Vamc Department of Veterans Affairs (VA) Pharmacy 17900 Linden Blvd, Jamaica, NY 11434-1468 2006-05-05
1922066109 Buffalo Vamc Department of Veterans Affairs (VA) Pharmacy 465 Westfall Rd, Rochester, NY 14620-4645 2006-05-03
1659339265 Northport Vamc Department of Veterans Affairs (VA) Pharmacy 79 Middleville Rd, Northport, NY 11768-2200 2006-05-03
1952368078 Buffalo Vamc Department of Veterans Affairs (VA) Pharmacy 76 Veterans Ave, Bath, NY 14810-0810 2006-05-01
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Competitor

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City BRONX
Zip Code 10468

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Dataset Information

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.

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