MARION IL VAMC PHARMACY
NPI 1750349429
Department of Veterans Affairs (VA) Pharmacy in Marion, IL

Q: What is St. Louis Jc Vamc's NPI number?

The NPI number for St. Louis Jc Vamc is 1750349429. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is also known as Marion Il Vamc Pharmacy.

Q: What is St. Louis Jc Vamc's specialty?

The primary specialty registered for this NPI is Department of Veterans Affairs (VA) Pharmacy with taxonomy code 332100000X.

Q: When was this NPI record last updated?

The NPPES record for St. Louis Jc Vamc was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2006

2401 W MAIN ST, MARION, IL 62959(618) 997-5311(618) 997-8212 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2020, Nov 19, 2019, Oct 23, 2018 and 1 more (4 updates tracked since 2018).

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About Marion Il Vamc Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARION IL VAMC PHARMACY (NPI 1750349429) is a healthcare organization registered as a department of veterans affairs (va) pharmacy in Marion, Illinois and active in the NPI registry since May 2006. The organization lists Erin Denise Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1750349429

Entity TypeOrganization

Primary Taxonomy332100000X

Legal Business NameST. LOUIS JC VAMC

Location Address2401 W MAIN STMarion, IL 62959-1188

Mailing AddressPo Box 94462Cleveland, OH 44101-4462 · (913) 578-4409

Phone(618) 997-5311

Fax(618) 997-8212

Organization SubpartNo

Authorized OfficialErin Denise PotterNpi Team Member · (202) 382-2579

Enumeration DateMay 3, 2006

Last NPPES UpdateJanuary 23, 20204 updates tracked since enumeration

✔ NPI 1750349429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDepartment of Veterans Affairs (VA) PharmacySuppliers

Taxonomy Code332100000X

Definition

Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.

2401 W MAIN ST, Marion, IL 62959

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Other Names 1

Other NameMarion Il Vamc Pharmacy

Other Identifiers 1

Other1469471IL · Ncpdp#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE A OTTO RN

Registered Nurse