NPIMap

Organization Active NPI

Willford Hall Medical Ctr

  • Military/U.S. Coast Guard Pharmacy
  • Lackland Afb, TX
National Provider Identifier
1114026358
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
WILLFORD HALL MEDICAL CTR
Practice address
2275 Reese St
BLDG 8410
Lackland Afb, TX 78236-1245
Phone
(210) 292-2217
Fax
(210) 292-3722
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

2275 Reese St
BLDG 8410
Lackland Afb, TX 78236-1245

Mailing address

2200 Bergquist Dr Ste 1
BLDG 8410
Lackland Afb, TX 78236-9908
Phone (210) 292-2217

Other identifiers 1

IdentifierTypeStateIssuer
2093035OtherPK

Other names 1

  • LACKLAND REFILL PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lackland BMT Op Phcy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2275 Reese St
Bldg 8410
Lackland AFB, TX 78236
Phone (210) 292-2217

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": "1531958400000",
    "number": "1114026358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR STE 1",
            "address_2": "BLDG 8410",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-2217",
            "fax_number": "210-292-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 REESE ST",
            "address_2": "BLDG 8410",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782361245",
            "telephone_number": "210-292-2217",
            "fax_number": "210-292-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLFORD HALL MEDICAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-07-19",
        "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": "2093035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LACKLAND REFILL PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lackland Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.