NPIMap

Organization Active NPI

VA Outpatiient Clinic

  • Department of Veterans Affairs (VA) Pharmacy
  • Beaumont, TX
National Provider Identifier
1861665572
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
VA OUTPATIIENT CLINIC
Practice address
3420 Veterans Cir
Beaumont, TX 77707-2552
Phone
(409) 981-8570
Fax
(409) 981-8569
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Donna Kyle
Title
Phcy Mang
Phone
(713) 794-7223

Specialties & licenses 1

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

Addresses

Primary practice location

3420 Veterans Cir
Beaumont, TX 77707-2552

Mailing address

PO Box 300408
Houston, TX 77230-0408

Other identifiers 1

IdentifierTypeStateIssuer
4547913OtherOTHER ID NUMBER

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 12

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

Locations

3420 Veterans Cir
Beaumont, TX 77707
Phone (409) 981-8550

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1861665572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 VETERANS CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072552",
            "telephone_number": "409-981-8570",
            "fax_number": "409-981-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA OUTPATIIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PHCY MANG",
        "authorized_official_telephone_number": "713-794-7223"
    },
    "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": "OTHER ID NUMBER",
            "identifier": "4547913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.