Organization Active NPI

James a.Haley VA Hospital

  • VA Clinic/Center
  • Clearwater, FL
National Provider Identifier
1316331952
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
RPT 52320 Issued in FL
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

Updated by the provider on Mar 20, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.