NPIMap

Organization Active NPI

Naval Health Clinic Patuxent River

Doing business as Dod Dahlgren Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Dahlgren, VA
National Provider Identifier
1003915133
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NAVAL HEALTH CLINIC PATUXENT RIVER
Doing business as
Dod Dahlgren Pharmacy
Practice address
Branch Medical Clinic BLDG 192
Dahlgren, VA 22428
Phone
(540) 653-3689
Fax
(540) 653-2382
NPI assigned
Sep 22, 2006
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HEALTH CLINIC PATUXENT RIVERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Hector Morales
Title
Chief Dha Posc
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X NU Primary

Addresses

Primary practice location

Branch Medical Clinic BLDG 192
Dahlgren, VA 22428

Mailing address

Branch Medical Clinic BLDG 192
Dahlgren, VA 22428
Phone (540) 653-3689

Other identifiers 1

IdentifierTypeStateIssuer
2105198OtherPK

Other names 1

  • DOD DAHLGREN PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Andrews7 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Andrews

Other organizations with this tax ID 6

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

Locations

BR Medical Clinic
Bldg 192
Bowling Green, VA 22428
Phone (540) 653-3689

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1003915133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRANCH MEDICAL CLINIC BLDG 192",
            "city": "DAHLGREN",
            "state": "VA",
            "postal_code": "22428",
            "telephone_number": "540-653-3689",
            "fax_number": "540-653-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRANCH MEDICAL CLINIC BLDG 192",
            "city": "DAHLGREN",
            "state": "VA",
            "postal_code": "22428",
            "telephone_number": "540-653-3689",
            "fax_number": "540-653-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HEALTH CLINIC PATUXENT RIVER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HEALTH CLINIC PATUXENT RIVER",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA POSC",
        "authorized_official_telephone_number": "210-536-6650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD DAHLGREN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dahlgren, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.