CHELMSFORD VA CMOP (NPI# 1861440679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861440679 |
| Entity Type | Organization |
| Organization Name | CHELMSFORD VA CMOP |
| Practice Address |
10 Industrial Ave Chelmsford MA 01824-3610 |
| Practice Telephone | 9782441313 |
| Practice Fax Number | 9782441302 |
| Mailing Telephone | 9782441300 |
| Mailing Fax Number | 9782441302 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | KENNETH SIEHR (DEPUTY CHIEF CONSULTANT PBM/CMOP) |
| Authorized Official Telephone | 9137584750 |
| Authorized Official Credential | R.PH., MPA |
| 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 |
|---|---|---|---|
| MA | DEA# | BC4110475 | 01 |
| MA | NCPDP# | 2241165 | 01 |
| Street Address |
10 INDUSTRIAL AVE |
| City | CHELMSFORD |
| State | MA |
| Zip Code | 01824-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519267 | Adele Joyce Boudreau | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2020-05-08 |
| 1942820006 | Miranda Jordan Grace | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2020-04-19 |
| 1477041549 | Alina Patton | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2018-04-24 |
| 1013443209 | Michael Kimmel | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2017-05-07 |
| 1578979977 | Adelaide Antwi Boateng-okyere | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2014-07-07 |
| 1427472513 | Carol Leary | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2014-02-10 |
| 1295159598 | Janice Youngju Yoo | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2014-02-07 |
| 1023364338 | Joane Elizabeth Golden | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2012-07-24 |
| 1336384437 | Clark Edward Imperioso | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-12-04 |
| 1356595755 | Jerome Fitzer | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1447805015 | Owl Pediatric Therapy LLC | Speech-Language Pathologist | 360 Littleton Road, #g6, Chelmsford, MA 01824 | 2019-08-09 |
| 1083277420 | Praisey Joseph | Nurse Practitioner | Massachusetts Ent Associates, Inc, 3 Meeting House Rd Suite 24, Chelmsford, MA 01824 | 2019-04-22 |
| 1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
| 1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
| 1144696675 | Serene Williams-kasili | Nurse Practitioner | 35 Village Square, Chelmsford, MA 01824 | 2015-08-19 |
| 1437536901 | Chelmsford Family Dentists PC | Dentist | 18 Boston Road, Suite 400, Chelmford, MA 01824 | 2015-05-04 |
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1700127925 | Safetynet Community Dental Health Center | Clinic/Center | 3 Courhouse Lane, Chelmsford, MA 01824 | 2013-03-13 |
| Find all providers in zip 01824 | ||||
| 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 |
|---|---|---|---|---|
| 1457523201 | Northeast Cmop | Department of Veterans Affairs (VA) Pharmacy | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965896 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 25 Bond St, Springfield, MA 01104-3401 | 2006-05-04 |
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1528354180 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-22 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| 1811945819 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-05-04 |
| 1720046337 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 421 N Main St, Leeds, MA 01053-9764 | 2006-05-03 |
| 1447218896 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 940 Belmont St, Brockton, MA 02301-5596 | 2006-05-03 |
| 1154388288 | Bedford Vamc | Department of Veterans Affairs (VA) Pharmacy | 200 Springs Rd, Bedford, MA 01730-1114 | 2006-05-01 |
| 1326006461 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 150 South Huntington Ave, Boston, MA 02130-4893 | 2006-05-01 |
| City | CHELMSFORD |
| Zip Code | 01824 |
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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.