St. Cloud Vamc

Primary specialty

Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X

Legal business name

ST. CLOUD VAMC

Practice address

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone

(320) 255-6345

Fax

(320) 268-9790

NPI assigned

May 5, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• ST. CLOUD VAMC PHARMACY Other name

Tax ID family

St Cloud Vamc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• St. Cloud Vamc

  • VA Clinic/Center
  • Montevideo, MN
  • NPI 1124175179
  NPD tax ID
• St. Cloud Vamc

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1588614325
  NPD tax ID
• St. Cloud Vamc

  • VA Clinic/Center
  • Brainerd, MN
  • NPI 1871640839
  NPD tax ID
• St. Cloud Vamc

  • VA Clinic/Center
  • Alexandria, MN
  • NPI 1942431242
  NPD tax ID

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1235187741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94461",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014461",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 VETERANS DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032015",
            "telephone_number": "320-255-6345",
            "fax_number": "320-268-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "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": "2408195",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. CLOUD VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ST. CLOUD VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St. Cloud Podiatry Clinic, P.a.
• St. Cloud Rehab LLC
• St. Cloud Silver Lining, Inc (Visiting Angels)
• St. Cloud State University
• St. Cloud Technical College Community Dental Clinic
• St. Cloud Vamc
• Stadther Chiropractic, LTD. (Meridian Disc Institute)
• Krissie Adell Stafford, RDN, LD
• Samantha Stager, RN BSN PHN
• Andrew Johann Stahl, MD

• Department of Veterans Affairs (VA) Pharmacy in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Department of Veterans Affairs (VA) Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.