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BOISE VAMC
NPI 1841258985
Department of Veterans Affairs (VA) Pharmacy in Boise, ID

Active since May 01, 2006CLIA 13D0988119 · Accreditation
500 W FORT ST, BOISE, ID 83702(208) 422-1000(208) 422-1198 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 29, 2018, Feb 22, 2018 (2 updates tracked since 2018).

About Boise Vamc NPPES

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

BOISE VAMC (NPI 1841258985) is a healthcare organization registered as a department of veterans affairs (va) pharmacy in Boise, Idaho and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists Erin Denise Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1841258985
Entity TypeOrganization
Primary Taxonomy332100000X
Legal Business NameBOISE VAMC
Location Address500 W FORT STBoise, ID 83702-4501
Mailing AddressPo Box 94402Cleveland, OH 44101-4402 · (702) 341-3164
Phone(208) 422-1000
Fax(208) 422-1198
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 29, 20182 updates tracked since enumeration
✔ NPI 1841258985 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.
500 W FORT ST, Boise, ID 83702
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Other Identifiers 1

Other1305766ID · 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, Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 13D0988119

Boise Vamc · Boise, ID
Active · expires May 22, 2032
CLIA Number13D0988119
Laboratory TypeHospital
Certificate Effective DateJune 20, 2001
Certificate Expiration DateMay 22, 2032
Laboratory DirectorRonald Slaughter
Laboratory Phone(208) 422-1140
Laboratory LocationBoise Vamc500 W Fort St Bldg 85 Rm 123, Boise, ID 83702
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boise Vamc's NPI number?

The NPI number for Boise Vamc is 1841258985. It was assigned to this organization in the NPPES registry on May 1, 2006.

Where is Boise Vamc located?

Boise Vamc is located at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Boise Vamc's specialty?

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

Does Boise Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 13D0988119) is associated with this NPI, valid through May 22, 2032. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boise Vamc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Wyoming and 24 other insurers list Boise Vamc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boise Vamc was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.