NPIMap

Organization Active NPI

San Juan Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Ponce, PR
National Provider Identifier
1043268683
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
SAN JUAN VAMC
Practice address
1010 Paseo del Veterano
Ponce, PR 00716-2001
Phone
(787) 641-7582
Fax
(787) 522-2989
NPI assigned
May 5, 2006
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Ms. Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

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

Addresses

Primary practice location

1010 Paseo del Veterano
Ponce, PR 00716-2001

Mailing address

PO Box 94469
Cleveland, OH 44101-4469
Phone (866) 793-4591

Other identifiers 1

IdentifierTypeStateIssuer
4024028OtherPRNCPDP

Other names 1

  • PONCE VA CBOC PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
San Juan Vamc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1043268683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94469",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014469",
            "telephone_number": "866-793-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PASEO DEL VETERANO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162001",
            "telephone_number": "787-641-7582",
            "fax_number": "787-522-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332100000X",
            "taxonomy_group": "",
            "desc": "Department of Veterans Affairs (VA) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4024028",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PONCE VA CBOC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.