Active NPI
James a.Haley VA Hospital
- VA Clinic/Center
- Clearwater, FL
National Provider Identifier
1316331952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- VA Clinic/Center
- License
- RPT 52320
- Legal business name
- JAMES A.HALEY VA HOSPITAL
- Practice address
- 6465 142ND Ave N Apt X205
Clearwater, FL 33760-2785 - Phone
- (727) 204-0376
- NPI assigned
- Mar 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rubina West
- Title
- Pharmacy Technician
- Phone
- (727) 204-0376
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | RPT 52320 | FL | Primary |
| VA Clinic/Center | 261QV0200X | 10032382 | DC |
Addresses
Primary practice location
6465 142ND Ave N Apt X205
Clearwater, FL 33760-2785
Mailing address
6465 142ND Ave N Apt X205
Clearwater, FL 33760-2785
Phone (727) 204-0376
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426809600000",
"number": "1316331952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 142ND AVE N APT X205",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337602785",
"telephone_number": "727-204-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 142ND AVE N APT X205",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337602785",
"telephone_number": "727-204-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A.HALEY VA HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-20",
"last_updated": "2015-03-20",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "RUBINA",
"authorized_official_title_or_position": "PHARMACY TECHNICIAN",
"authorized_official_telephone_number": "727-204-0376"
},
"taxonomies": [
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": "FL",
"license": "RPT 52320",
"primary": true
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": "DC",
"license": "10032382",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.