NPIMap

Organization Active NPI

Ahc Moncrief-Jackson

  • Military/U.S. Coast Guard Pharmacy
  • Columbia, SC
National Provider Identifier
1043319213
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
AHC MONCRIEF-JACKSON
Practice address
4575 8TH Division Rd BLDG 4575
Columbia, SC 29207
Phone
(803) 751-7358
Fax
(803) 751-2451
NPI assigned
Sep 22, 2006
Organization subpart
Yes
Parent organization
AHC MONCRIEF-JACKSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

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

Addresses

Primary practice location

4575 8TH Division Rd BLDG 4575
Columbia, SC 29207

Mailing address

BLDG 4575
Marion Ave
Ft Jackson, SC 29207
Phone (803) 751-7358

Other identifiers 1

IdentifierTypeStateIssuer
2091733OtherPK

Other names 1

  • JACKSON TMC PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moncrief Army Community Hospital11 organizations share this tax ID, including this one
Part of
Moncrief Army Community Hospital

Other organizations with this tax ID 10

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

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": "1751241600000",
    "number": "1043319213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 4575",
            "address_2": "MARION AVE",
            "city": "FT JACKSON",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-7358",
            "fax_number": "803-751-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 8TH DIVISION RD BLDG 4575",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-7358",
            "fax_number": "803-751-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC MONCRIEF-JACKSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC MONCRIEF-JACKSON",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON TMC PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.