INDIANAPOLIS VAMC (NPI# 1982662789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982662789 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS VAMC |
| Other Organization Name | INDIANAPOLIS VAMC PHARMACY |
| Practice Address |
1481 West 10th Street Indianapolis IN 46202 |
| Mailing Address |
Po Box 5303 Madison WI 53705-0303 |
| Practice Telephone | 3179882828 |
| Practice Fax Number | 3179883334 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-09-22 |
| 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 |
|---|---|---|---|
| IN | NCPDP# | 1516206 | 01 |
| Other Name | Type Code |
|---|---|
| INDIANAPOLIS VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1831697598 | Indianapolis Vamc | Psychiatric Residential Treatment Facility | 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 | 2018-01-29 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1831140417 | Indianapolis Vamc | Clinic/Center | 2100 S Liberty Dr, Bloomington, IN 47403-5147 | 2006-05-16 |
| 1235625088 | Indianapolis Vamc | Clinic/Center | 30 W Rampart St, Shelbyville, IN 46176-8846 | 2018-07-05 |
| 1730682352 | Indianapolis Vamc | Clinic/Center | 2669 Cold Spring Rd, Indianapolis, IN 46222-6211 | 2018-03-09 |
| Street Address |
1481 WEST 10TH STREET |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544739 | Andrea Jean Baker | Pharmacist | 1481 West 10th Street, Indianapolis, IN 46202 | 2017-08-15 |
| 1619326980 | Anna Gaddy | Student in an Organized Health Care Education/Training Program | 1481 West 10th Street, Richard L. Roudebush Va Medical Center, Indianapolis, IN 46202 | 2016-06-08 |
| 1205266780 | Raniya Hamza | Pharmacist | 1481 West 10th Street, Richard L. Roudebush Vamc, Indianapolis, IN 46202 | 2013-11-19 |
| 1205278439 | Breanne Sorgen Fleming | Pharmacist | 1481 West 10th Street, Room C-7171, Indianapolis, IN 46202 | 2013-07-30 |
| 1952667636 | Tamara Lee Mielock | Nurse Practitioner | 1481 West 10th Street, Richard L. Roudebush Va Medical Center, Indianapolis, IN 46202 | 2012-04-06 |
| 1669703518 | Jan Delight Woodard | Radiologic Technologist | 1481 West 10th Street, Indianapolis, IN 46202-2803 | 2010-01-15 |
| 1649410283 | Angela Renae Brady | Nurse Practitioner | 1481 West 10th Street, Indianapolis, IN 46202 | 2009-02-23 |
| 1881839702 | Jessica Catherine Babbitt | Physical Therapist | 1481 West 10th Street, Indianapolis, IN 46202 | 2008-12-05 |
| 1215185616 | Jenny Haskett | Registered Nurse | 1481 West 10th Street, Indianapolis, IN 46202 | 2008-08-28 |
| 1205090479 | Jeremy Lee Bricker | Anesthesiology | 1481 West 10th Street, Richard L. Roudebush Va Medical Center, Indianapolis, IN 46202 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| 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 |
|---|---|---|---|---|
| 1689193401 | Compass Transportation LLC | Department of Veterans Affairs (VA) Pharmacy | 2920 N Keystone Ave, Indianapolis, IN 46218-6701 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851349062 | St. Louis Jc Vamc | Department of Veterans Affairs (VA) Pharmacy | 6211 Waterford Blvd, Evansville, IN 47715-2869 | 2006-05-04 |
| 1821046848 | Chicago Vamc | Department of Veterans Affairs (VA) Pharmacy | 9301 Madison St, Crown Point, IN 46307-7745 | 2006-05-04 |
| 1457309379 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-04 |
| 1427016369 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-02 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on INDIANAPOLIS 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.