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TYLER VA CLINIC PHARMACY
NPI 1942952072
Department of Veterans Affairs (VA) Pharmacy in Tyler, TX

Active since January 20, 2022
428 CENTENNIAL PKWY, TYLER, TX 75703(903) 266-5951(903) 486-9701 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Jan 20, 2022 (2 updates tracked since 2022).

About Tyler Va Clinic Pharmacy NPPES

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

TYLER VA CLINIC PHARMACY (NPI 1942952072) is a healthcare organization registered as a department of veterans affairs (va) pharmacy in Tyler, Texas and active in the NPI registry since January 2022. The organization lists Erin Denise Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1942952072
Entity TypeOrganization
Primary Taxonomy332100000X
Legal Business NameDALLAS VAMC
Location Address428 CENTENNIAL PKWYTyler, TX 75703-7166
Mailing AddressPo Box 94493Cleveland, OH 44101-4493 · (615) 355-3451
Phone(903) 266-5951
Fax(903) 486-9701
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team Member · (202) 382-2579
Enumeration DateJanuary 20, 2022
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1942952072 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.
428 CENTENNIAL PKWY, Tyler, TX 75703
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Other Names 1

Other NameTyler Va Clinic Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

CLARICE MICHELLE MCDANIELS MS, RD, LD
Dietitian, Registered
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
ALICE SEAVON BLACK OPTHALMIC ASSISTANT
Technician/Technologist (Ophthalmic Assistant)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
MRS. HOPE ELAINE BARHAM APRN
Registered Nurse (Psychiatric/Mental Health)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
KAYLA BORGES AU.D.
Audiologist
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (855) 375-6930
AMANDA LEIGH SHUTTLESWORTH LMSW
Social Worker
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
DALLAS VAMC
Clinic/Center (VA)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (615) 355-3451
DR. SARAH SAMUEL DDS
Dentist (General Practice)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
CHRISTOPHER PERKINS DO
Preventive Medicine (Public Health & General Preventive Medicine)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900

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 Dallas Vamc's NPI number?

The NPI number for Dallas Vamc is 1942952072. It was assigned to this organization in the NPPES registry on January 20, 2022. The provider is also known as Tyler VA Clinic Pharmacy.

Where is Dallas Vamc located?

Dallas Vamc is located at 428 Centennial Pkwy, Tyler, TX 75703. The listed phone number is (903) 266-5951.

What is Dallas Vamc's specialty?

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

What insurance does Dallas Vamc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Dallas 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 Dallas Vamc was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.