Organization Active NPI

Murfreesboro VA Cmop

  • Department of Veterans Affairs (VA) Pharmacy
  • Murfreesboro, TN
National Provider Identifier
1689622458
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
MURFREESBORO VA CMOP
Practice address
5171 Sam Jared Dr
Murfreesboro, TN 37130-1382
Phone
(615) 867-6149
Fax
(615) 867-5799
NPI assigned
May 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Kenneth Siehr, R.PH., MPA
Title
Deputy Chief Consultant PBM/Cmop
Phone
(913) 758-4750

Specialties & licenses 1

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

Addresses

Primary practice location

5171 Sam Jared Dr
Murfreesboro, TN 37130-1382

Mailing address

5171 Sam Jared Dr
Murfreesboro, TN 37130-1382
Phone (615) 867-6149

Other identifiers 1

IdentifierTypeStateIssuer
4438621OtherTNNCPDP#

National Provider Directory

National Provider Directory
Tax ID family
Boston Healthcare VA179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

5171 Sam Jared Dr
Murfreesboro, TN 37130
Phone (615) 867-5912

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": "1678147200000",
    "number": "1689622458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 SAM JARED DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301382",
            "telephone_number": "615-867-6149",
            "fax_number": "615-867-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 SAM JARED DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301382",
            "telephone_number": "615-867-6149",
            "fax_number": "615-867-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURFREESBORO VA CMOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SIEHR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DEPUTY CHIEF CONSULTANT PBM/CMOP",
        "authorized_official_telephone_number": "913-758-4750",
        "authorized_official_credential": "R.PH., MPA"
    },
    "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": "4438621",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.