NPIMap

Organization Active NPI

Hines VA Cmop

  • Department of Veterans Affairs (VA) Pharmacy
  • Hines, IL
National Provider Identifier
1700834116
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
HINES VA CMOP
Practice address
5000 S 5TH Ave
BLDG. 37
Hines, IL 60141-3030
Phone
(708) 786-7821
Fax
(708) 786-7980
NPI assigned
May 5, 2006
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

5000 S 5TH Ave
BLDG. 37
Hines, IL 60141-3030

Mailing address

5000 S 5TH Ave
BLDG. 37
Hines, IL 60141-3030
Phone (708) 786-7820

Other identifiers 1

IdentifierTypeStateIssuer
1478367OtherILNCPDP#

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

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

Locations

5000 S 5th Ave
Bldg 37
Hines, IL 60141
Phone (708) 786-7661

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700834116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "BLDG. 37",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-786-7820",
            "fax_number": "708-786-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "BLDG. 37",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-786-7821",
            "fax_number": "708-786-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES VA CMOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "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": "1478367",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

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.