NPIMap

Organization Active NPI

Naval Health Clinic New England

  • Military/U.S. Coast Guard Pharmacy
  • Kittery, ME
National Provider Identifier
1124431978
Registry record updated Mar 14, 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
Practice address
One Ayres Circle
BLDG H-1
Kittery, ME 03904
Phone
(207) 438-2582
Fax
(207) 438-2243
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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

One Ayres Circle
BLDG H-1
Kittery, ME 03904

Mailing address

Naval Branch Health Clinic Groton
1 Wahoo Ave
Groton,, CT 06349
Phone (207) 438-2582

Other identifiers 1

IdentifierTypeStateIssuer
2146203OtherPK

Other names 1

  • DOD PORTSMOUTH KITTERY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Newport Memorial Hospital - Navy Resource Sharing10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1124431978",
    "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",
            "telephone_number": "207-438-2582",
            "fax_number": "207-438-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE AYRES CIRCLE",
            "address_2": "BLDG H-1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "207-438-2582",
            "fax_number": "207-438-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HEALTH CLINIC NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "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"
    },
    "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": "2146203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD PORTSMOUTH KITTERY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kittery, ME

Sources for this page

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