Organization Active NPI

Wilmington Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Wilmington, DE
National Provider Identifier
1003864208
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
WILMINGTON VAMC
Practice address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone
(302) 994-2511
Fax
(302) 633-5443
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Denise Potter
Title
Npi Team
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Department of Veterans Affairs (VA) Pharmacy 332100000X Primary

Addresses

Primary practice location

1601 Kirkwood Hwy
Wilmington, DE 19805-4917

Mailing address

PO Box 94429
Cleveland, OH 44101-4429
Phone (717) 277-6568

Other identifiers 1

IdentifierTypeStateIssuer
0803177OtherDENCPDP#

Other names 1

  • WILMINGTON DE VAMC PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Department of Veterans Affairs9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1003864208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94429",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014429",
            "telephone_number": "717-277-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054917",
            "telephone_number": "302-994-2511",
            "fax_number": "302-633-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NPI TEAM",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "332100000X",
            "taxonomy_group": "",
            "desc": "Department of Veterans Affairs (VA) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "0803177",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILMINGTON DE VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WILMINGTON DE VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.