NPIMap

Organization Active NPI

NMC San Diego

  • Military/U.S. Coast Guard Pharmacy
  • San Diego, CA
National Provider Identifier
1124125984
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NMC SAN DIEGO
Practice address
2450 Craven St
BLDG 3300
San Diego, CA 92136-5599
Phone
(619) 881-9202
Fax
(619) 556-9419
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
NMC SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 Primary

Addresses

Primary practice location

2450 Craven St
BLDG 3300
San Diego, CA 92136-5599

Mailing address

2450 Craven St
BLDG 3300
San Diego, CA 92136-5599
Phone (619) 556-8086

Other identifiers 1

IdentifierTypeStateIssuer
2028517OtherPK

Other names 1

  • SAN DG NAVSTA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Naval Medical Center San Diego26 organizations share this tax ID, including this one
Part of
Naval Medical Center San Diego

Other organizations with this tax ID 25

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

View all 25

Locations

2450 Craven St
Bldg 3300
San Diego, CA 92136
Phone (619) 556-8101

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1124125984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CRAVEN ST",
            "address_2": "BLDG 3300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365599",
            "telephone_number": "619-556-8086",
            "fax_number": "619-532-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 CRAVEN ST",
            "address_2": "BLDG 3300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365599",
            "telephone_number": "619-881-9202",
            "fax_number": "619-556-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC SAN DIEGO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN DG NAVSTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.