Active NPI
Little Rock Vamc
- Department of Veterans Affairs (VA) Pharmacy
- Little Rock, AR
National Provider Identifier
1720046725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Department of Veterans Affairs (VA) Pharmacy
- Legal business name
- LITTLE ROCK VAMC
- Practice address
- 4300 W 7TH St
Little Rock, AR 72205-5446 - Phone
- (501) 257-2900
- Fax
- (501) 257-6326
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Department of Veterans Affairs (VA) Pharmacy | 332100000X | Primary |
Addresses
Primary practice location
4300 W 7TH St
Little Rock, AR 72205-5446
Mailing address
PO Box 94499
Cleveland, OH 44101
Phone (615) 355-3451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421785 | Other | AR | NCPDP# |
Other names 1
- LITTLE ROCK VAMC PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Little Rock Vamc
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Organizations that report the same tax identification number in the National Provider Directory.
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- NPI 1295120152
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1720046725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94499",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44101",
"telephone_number": "615-355-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W 7TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055446",
"telephone_number": "501-257-2900",
"fax_number": "501-257-6326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE ROCK VAMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "ERIN",
"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": "421785",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LITTLE ROCK VAMC PHARMACY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.