NPIMap

Organization Active NPI

Valley Healthcare System, Inc

Doing business as Valley Healthcare System Pharmacy

  • Pharmacist
  • Columbus, GA
National Provider Identifier
1346803558
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
VALLEY HEALTHCARE SYSTEM, INC
Doing business as
Valley Healthcare System Pharmacy
Practice address
1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone
(706) 507-1850
Fax
(706) 507-1610
NPI assigned
Apr 15, 2019
Last updated
Apr 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTHCARE SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Brenda C Wilson
Title
Revenue Cycle Manager
Phone
(706) 322-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

1600 Fort Benning Rd
Columbus, GA 31903-2834

Mailing address

1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone (706) 507-1850

Other identifiers 1

IdentifierTypeStateIssuer
003132691AMedicaidGA

Other names 1

  • Valley Healthcare System Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwilson@valleyhealthcolumbus.com

National Provider Directory

National Provider Directory
Tax ID family
Valley Healthcare System5 organizations share this tax ID, including this one
Part of
Valley Healthcare System

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1346803558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-507-1850",
            "fax_number": "706-507-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-507-1850",
            "fax_number": "706-507-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTHCARE SYSTEM, INC",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "706-322-9599"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003132691A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilson@valleyhealthcolumbus.com",
            "affiliation": "N",
            "address_1": "1600 Fort Benning Rd",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319032834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Healthcare System Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.