NPIMap

Organization Active NPI

Cleveland Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Canton, OH
National Provider Identifier
1154514644
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
CLEVELAND VAMC
Practice address
733 Market Ave S
Canton, OH 44702-2165
Phone
(330) 489-4600
Fax
(330) 489-4580
NPI assigned
Aug 20, 2007
Organization subpart
No

Authorized official

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

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Vamc38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

733 Market Ave S
Canton, OH 44702
Phone (330) 489-4600

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

733 Market Ave S
Canton, OH 44702-2165

Mailing address

PO Box 94477
Cleveland, OH 44101-4477
Phone (608) 821-7200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3674276OtherOHNCPDP

Other names 1

NPPES NPI Registry
  • CANTON VA CBOC PHARMACY Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2023.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1154514644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94477",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014477",
            "telephone_number": "608-821-7200",
            "fax_number": "608-821-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 MARKET AVE S",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447022165",
            "telephone_number": "330-489-4600",
            "fax_number": "330-489-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "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": "3674276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANTON VA CBOC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.