Department of Veterans Affairs

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

16609 Issued in MA

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

251 Causeway St
Room 265
Boston, MA 02114

Phone

(617) 248-1190

Fax

(617) 248-1450

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Richard Nackel, RPH

Title

Pharmacy Supervisor

Phone

(617) 248-1190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841386448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CAUSEWAY ST",
            "address_2": "ROOM 265",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-248-1190",
            "fax_number": "617-248-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CAUSEWAY ST",
            "address_2": "ROOM 265",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-248-1190",
            "fax_number": "617-248-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NACKEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "617-248-1190",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "MA",
            "license": "16609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Francesca Depaola, MD
• Kathleen Depaoli
• Mia Depaolo
• Department of Mental Health
• Department of Public Health - Early Intervention Program
• Jennifer Nicole Depatie
• Brittany Elizabeth Depaula, RD
• Francesca Emma Depellegrini, PA
• Danielle K Deperalta, M.D.
• Sohenga Chrispin Depestre, PSYD

• VA Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• VA Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.