BALTIMORE VAMC (NPI# 1972551596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972551596 |
| Entity Type | Organization |
| Organization Name | BALTIMORE VAMC |
| Other Organization Name | PERRY POINT VAMC PHARMACY |
| Practice Address |
601 Perryville Drive Perry Point MD 21902-1111 |
| Mailing Address |
Po Box 89411 Cleveland OH 44101-6411 |
| Practice Telephone | 4106422411 |
| Practice Fax Number | 4106421122 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-07-23 |
| 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 |
|---|---|---|---|
| MD | NCPDP# | 2119952 | 01 |
| Other Name | Type Code |
|---|---|
| PERRY POINT VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245380872 | Baltimore Vamc | Clinic/Center | 5235 King Ave Ste 200, Rosedale, MD 21237-4068 | 2007-01-12 |
| 1326087719 | Baltimore Vamc | Clinic/Center | 1701 Market St, Suite 211, Pocomoke City, MD 21851-1738 | 2006-06-04 |
| 1750331831 | Baltimore Vamc | General Acute Care Hospital | Avenue D #59, Perry Point, MD 21902-1001 | 2006-05-11 |
| 1376054429 | Baltimore Vamc | Clinic/Center | 209 W Fayette St, Baltimore, MD 21201-3403 | 2017-10-17 |
| 1811236060 | Baltimore Vamc | Clinic/Center | 2479 5th Street, Fort Meade, MD 20755 | 2013-02-07 |
| 1447206560 | Baltimore Vamc | General Acute Care Hospital | 3901 The Alameda, Baltimore, MD 21218-2100 | 2006-05-26 |
| 1972557304 | Baltimore Vamc | Clinic/Center | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2006-05-20 |
| 1073564688 | Baltimore Vamc | Clinic/Center | 830 Chesapeake Dr, Cambridge, MD 21613-9408 | 2006-05-16 |
| 1083663157 | Baltimore Vamc | General Acute Care Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-08 |
| 1164480596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-03 |
| Street Address |
601 PERRYVILLE DRIVE |
| City | PERRY POINT |
| State | MD |
| Zip Code | 21902-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407979834 | Melissa M Huber | Social Worker | 601 Perryville Drive, Perry Point, MD 21902 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373159 | Daniel Vigus | Recreation Therapist | 59 Ave D, Perry Point, MD 21902 | 2020-10-15 |
| 1407471758 | Amanda Dawn Morris | Optometrist | Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 | 2020-06-12 |
| 1639672835 | Sarah Nicole Cassatt | Dietitian, Registered | Perry Point Va Medical Center Avenue D & 8th St, Perry Point, MD 21902 | 2018-03-14 |
| 1669981809 | Kristyn Sanders | Social Worker | Avenue D & 8th St., Perry Point, MD 21902 | 2017-09-20 |
| 1093250342 | Maria Elana Bergeron | Nurse Practitioner | Bldg 25 Perry Point Va Medical Center, Perry Point, MD 21902 | 2016-12-22 |
| 1124572037 | Jonathan Raymond | Physical Therapist | Avenue D & 8th St, Perry Point, MD 21902 | 2016-08-09 |
| 1528435732 | Stanley Prochaska Jr. | Nurse Practitioner | 1 Avenue D, Perryville, MD 21902 | 2015-08-24 |
| 1346665437 | Doreen Carole Rupp | Social Worker | Avenue D, Building 19h, 244, Perry Point, MD 21902 | 2014-02-26 |
| 1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
| 1104198779 | Ashley Abell Carroll | Social Worker | 2h Circle Drive, Perry Point Veterans Affairs Medical Center, Perry Point, MD 21902 | 2012-01-30 |
| Find all providers in zip 21902 | ||||
| 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 |
|---|---|---|---|---|
| 1922101682 | Maryland Cvs Pharmacy L L C | Department of Veterans Affairs (VA) Pharmacy | 1013 Woodbridge Ctr Way, Edgewood, MD 21040 | 2006-09-07 |
| 1164480596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-03 |
| City | PERRY POINT |
| Zip Code | 21902 |
Please comment or provide details below to improve the information on BALTIMORE 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.