NPIMap

Organization Active NPI

Indianapolis Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Terre Haute, IN
National Provider Identifier
1992475206
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
Legal business name
INDIANAPOLIS VAMC
Practice address
5080 E Bill Farr Dr
Terre Haute, IN 47803-9324
Phone
(812) 478-1856
Fax
(317) 988-5705
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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
Phone
(202) 382-2579

Specialties & licenses 1

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

Addresses

Primary practice location

5080 E Bill Farr Dr
Terre Haute, IN 47803-9324

Mailing address

PO Box 94483
Cleveland, OH 44101-4483
Phone (608) 821-7200

Other identifiers 1

IdentifierTypeStateIssuer
1571531OtherNCPDP

Other names 1

  • TERRE HAUTE VA CLINIC PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Indianapolis Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

5080 E Bill Farr Dr
Terre Haute, IN 47803
Phone (812) 478-1825

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1992475206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94483",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014483",
            "telephone_number": "608-821-7200",
            "fax_number": "608-821-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 E BILL FARR DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039324",
            "telephone_number": "812-478-1856",
            "fax_number": "317-988-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NPI TEAM",
        "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": "1571531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TERRE HAUTE VA CLINIC PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TERRE HAUTE VA CLINIC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.