MEDICARE: DAYTON VAMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332100000X	Department of Veterans Affairs (VA) Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3664085	OTHER	OH	NCPDP#

General Provider Information

NPI Number	:	1043278955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYTON VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94479
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4479
Country	:	US
Telephone Number	:	608-821-7200
Fax Number	:	608-821-7658

Provider Business Practice Location Address
First Line	:	4100 W 3RD ST # 119
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45428-9000
Country	:	US
Telephone Number	:	937-268-6511
Fax Number	:	937-262-2168

Authorized Official
Title or Position	:	NPI TEAM
Name	:	ERIN DENISE POTTER
Credential	:
Telephone Number	:	202-382-2579

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	02/24/2023

Similar Medicare Providers

1861496549 — ANDREW T SU M.D.
Practice Location Address:

4100 W 3RD ST
DAYTON, OH
45428-9000

Practice Phone: 937-268-6511
Practice Fax: 937-267-5316

1881690774 — CAROL MILLER NP
Practice Location Address:

4100 W 3RD ST
DAYTON, OH
45428-9000

Practice Phone: 937-268-6511
Practice Fax:

1720087653 — PETER C SZE MD
Practice Location Address:

4100 W 3RD ST , (115)
DAYTON, OH
45428-9000

Practice Phone: 937-268-6511
Practice Fax:

1720077613 — DR. ERIN B LOESCH PHARMD, BCPS, DPLA
Practice Location Address:

4100 W 3RD ST # 119
DAYTON, OH
45428-9000

Practice Phone: 937-268-6511
Practice Fax:

1861473795 — DR. WHITNEY ALLYSON SHAFFER PHARM D., CDE
Practice Location Address:

4100 W 3RD ST
DAYTON, OH
45428-9000

Practice Phone: 937-268-6511
Practice Fax:

1083695886 — PERRY G NYSTROM MD
Practice Location Address:

4100 W 3RD ST
DAYTON, OH
45428-9000

Practice Phone: 937-268-6511
Practice Fax: 937-267-3917

Directions to “DAYTON VAMC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.