NPIMap

Organization Active NPI

Naval Health Clinic Patuxent River

  • Military/U.S. Coast Guard Pharmacy
  • Indian Head, MD
National Provider Identifier
1174620926
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 PATUXENT RIVER
Practice address
BLDG 1600 Wilson Drive
Indian Head, MD 20640
Phone
(410) 744-4904
Fax
(410) 744-4361
NPI assigned
Sep 20, 2006
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HEALTH CLINIC PATUXENT RIVERAs 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
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

BLDG 1600 Wilson Drive
Indian Head, MD 20640

Mailing address

National Naval Medical
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (410) 744-4904

Other identifiers 1

IdentifierTypeStateIssuer
2037300OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Andrews7 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Andrews

Other organizations with this tax ID 6

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

Locations

1600 W Wilson Rd
Indian Head, MD 20640
Phone (410) 744-4904

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": "1678838400000",
    "number": "1174620926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NATIONAL NAVAL MEDICAL",
            "address_2": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "410-744-4904",
            "fax_number": "410-744-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 1600 WILSON DRIVE",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "20640",
            "telephone_number": "410-744-4904",
            "fax_number": "410-744-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HEALTH CLINIC PATUXENT RIVER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HEALTH CLINIC PATUXENT RIVER",
        "enumeration_date": "2006-09-20",
        "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",
        "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": "2037300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Head, MD

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.