VA Cmop

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

VA CMOP

Practice address

3725 Rivers Ave Ste 2
North Charleston, SC 29405-7072

Phone

(843) 745-8649

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Dena Wolforth

Title

Program Manager

Phone

(843) 745-8636

Specialties & licenses 2

Addresses

Tax ID family

VA Cmop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Veteran'S Administraction Medical Center

  • Special Hospital
  • Martinsburg, WV
  • NPI 1780832493
  NPD tax ID

Locations

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1104076694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RIVERS AVE STE 2",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RIVERS AVE STE 2",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057072",
            "telephone_number": "843-745-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA CMOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "WOLFORTH",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "843-745-8636"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Vanauker, OTR/L
• Suzanna Grace Vanderver, PHARM. D.
• Cristina Isabel Vargas-Marrero, MS

• Mail Order Pharmacy in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Mail Order Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.