NPIMap

Organization Active NPI

Naval Health Clinic New England

Doing business as Dod Groton Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Groton, CT
National Provider Identifier
1073603304
Registry record updated Mar 15, 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 NEW ENGLAND
Doing business as
Dod Groton Pharmacy
Practice address
1 Wahoo Ave
Building 449
Groton, CT 06349-2324
Phone
(888) 628-9633
Fax
(860) 694-2367
NPI assigned
Oct 16, 2006
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HEALTH CLINIC NEW ENGLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1 Wahoo Ave
Building 449
Groton, CT 06349-2324

Mailing address

Naval Branch Health Clinic Groton
1 Wahoo Ave
Groton, CT 06349

Other identifiers 1

IdentifierTypeStateIssuer
2002351OtherPK

Other names 1

  • DOD GROTON PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Groton10 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Groton

Other organizations with this tax ID 9

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

Locations

1 Wahoo Ave
Bldg 449
Groton, CT 06349
Phone (860) 694-4123

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1073603304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC GROTON",
            "address_2": "1 WAHOO AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WAHOO AVE",
            "address_2": "BUILDING 449",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063492324",
            "telephone_number": "888-628-9633",
            "fax_number": "860-694-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HEALTH CLINIC NEW ENGLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HEALTH CLINIC NEW ENGLAND",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "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"
    },
    "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": "2002351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD GROTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.