NPIMap

Organization Active NPI

Oklahoma City Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Fort Sill, OK
National Provider Identifier
1750583563
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
OKLAHOMA CITY VAMC
Practice address
4303 Pittman & Thomas Road
BLDG 4303
Fort Sill, OK 73503-4473
Phone
(580) 351-6511
Fax
(580) 351-6526
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

4303 Pittman & Thomas Road
BLDG 4303
Fort Sill, OK 73503-4473

Mailing address

PO Box 94537
Cleveland, OH 44101-4537
Phone (913) 578-4409

Other practice location 1

4303 Pittman & Thomas Road
Building 4303
Fort Sill, OK 73503-4473
Phone (405) 270-0501

Other identifiers 1

IdentifierTypeStateIssuer
3723738OtherOKNCPDP

Other names 1

  • LAWTON VA CBOC PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma City Vamc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

4303 Pitman St
Bldg 4303
Fort Sill, OK 73503
Phone (580) 351-6511

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1750583563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94537",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014537",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 PITTMAN & THOMAS ROAD",
            "address_2": "BLDG 4303",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034473",
            "telephone_number": "580-351-6511",
            "fax_number": "580-351-6526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4303 Pittman & Thomas Road",
            "address_2": "Building 4303",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "735034473",
            "country_code": "US",
            "telephone_number": "405-270-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKLAHOMA CITY VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-22",
        "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": "3723738",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAWTON VA CBOC PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LAWTON VA CBOC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Sill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.