Department of Vetrans Affairs

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

DEPARTMENT OF VETRANS AFFAIRS

Practice address

109 Bee St
3625 Rivers Ave Suite2
Charleston, SC 29401-5703

Phone

(843) 745-8637

Fax

(843) 747-6841

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James Hopkins, SUPERVISOR

Title

Pharamicst

Phone

(843) 745-8637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1467600296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 DORCHESTER RD APT 1406",
            "address_2": "POBOX 70103",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294185517",
            "telephone_number": "843-864-9124",
            "fax_number": "843-747-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "address_2": "3625 RIVERS AVE SUITE2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-745-8637",
            "fax_number": "843-747-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETRANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARAMICST",
        "authorized_official_telephone_number": "843-745-8637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Deoghare, MBBS, MD
• Bradley Joseph Depaoli, MD
• Jessica Depaoli, LISW-CP
• Department of Veteran Affairs, Ralph H. Johnson Medical Center
• Department of Veterans Affairs
• Ian Depew, MD
• Christopher James Depietro, DO
• Brittany Paige Depriest, M.D.
• Sarah Rachel Victoria Deptula, PHARMD
• Dermatology and Laser Center of Charleston PA

• PACE Provider Organization in Charleston, SC
• Providers in Charleston, SC by specialty
• PACE Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.