NPIMap

Organization Active NPI

Montana Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Fort Harrison, MT
National Provider Identifier
1538117593
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
MONTANA VAMC
Practice address
3687 Veterans Dr
Fort Harrison, MT 59636-9703
Phone
(406) 442-6410
Fax
(406) 447-7569
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Department of Veterans Affairs (VA) Pharmacy 332100000X Primary

Addresses

Primary practice location

3687 Veterans Dr
Fort Harrison, MT 59636-9703

Mailing address

PO Box 94451
Cleveland, OH 44101-4451
Phone (913) 578-4409

Other identifiers 1

IdentifierTypeStateIssuer
2706553OtherMTNCPDP#

Other names 1

  • MONTANA VAMC PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Montana Vamc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1538117593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94451",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014451",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 VETERANS DR",
            "city": "FORT HARRISON",
            "state": "MT",
            "postal_code": "596369703",
            "telephone_number": "406-442-6410",
            "fax_number": "406-447-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "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": "2706553",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTANA VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MONTANA VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Harrison, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.