NPIMap

Organization Active NPI

Alexandria Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Pineville, LA
National Provider Identifier
1922066968
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
ALEXANDRIA VAMC
Practice address
2495 Shreveport Hwy
71 North
Pineville, LA 71360-4044
Phone
(318) 466-2025
Fax
(318) 483-5013
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Addresses

Primary practice location

2495 Shreveport Hwy
71 North
Pineville, LA 71360-4044

Mailing address

PO Box 94491
Cleveland, OH 44101
Phone (615) 355-3451

Other practice location 1

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 466-2025

Other practice location 2

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 473-0010 ext. 2574

Other identifiers 1

IdentifierTypeStateIssuer
1914717OtherLANCPDP#

Other names 1

  • ALEXANDRIA VAMC PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Alexandria Vamc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2495 Shreveport Hwy
#71N
Pineville, LA 71360
Phone (318) 466-2816

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1922066968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94491",
            "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": "2495 SHREVEPORT HWY",
            "address_2": "71 NORTH",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-466-2025",
            "fax_number": "318-483-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 Shreveport Hwy",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713604044",
            "country_code": "US",
            "telephone_number": "318-466-2025",
            "fax_number": "318-483-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2495 Shreveport Hwy",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713604044",
            "country_code": "US",
            "telephone_number": "318-473-0010 x2574",
            "fax_number": "318-483-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXANDRIA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "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": "1914717",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALEXANDRIA VAMC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

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