NPIMap

Organization Active NPI

Ahc Moncrief-Jackson

  • Military/U.S. Coast Guard Pharmacy
  • Columbia, SC
National Provider Identifier
1194138859
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
AHC MONCRIEF-JACKSON
Practice address
4500 8TH Division Rd
Columbia, SC 29207-5700
Phone
(803) 751-7979
Fax
(803) 751-2048
NPI assigned
Jun 10, 2014
Organization subpart
Yes
Parent organization
AHC MONCRIEF-JACKSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

4500 8TH Division Rd
Columbia, SC 29207-5700

Mailing address

Moncrief Army Community Hospital
4500 Stuart St Box 497
Fort Jackson, SC 29207-5700
Phone (803) 751-2415

Other identifiers 1

IdentifierTypeStateIssuer
2146206OtherPK

Other names 1

  • DoD FT JACKSON ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moncrief Army Community Hospital11 organizations share this tax ID, including this one
Part of
Moncrief Army Community Hospital

Other organizations with this tax ID 10

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

Locations

4500 Stewart St
Columbia, SC 29207
Phone (803) 751-2160

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": "1749513600000",
    "number": "1194138859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MONCRIEF ARMY COMMUNITY HOSPITAL",
            "address_2": "4500 STUART ST BOX 497",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-2415",
            "fax_number": "803-751-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 8TH DIVISION RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-7979",
            "fax_number": "803-751-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC MONCRIEF-JACKSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC MONCRIEF-JACKSON",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "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
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD FT JACKSON ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.