NPIMap

Organization Active NPI

NH Jacksonville

  • Military/U.S. Coast Guard Pharmacy
  • Albany, GA
National Provider Identifier
1285731034
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NH JACKSONVILLE
Practice address
814 Radford Blvd
BLDG 7200
Albany, GA 31704-5000
Phone
(229) 639-5976
Fax
(229) 639-7881
NPI assigned
Sep 20, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NH JACKSONVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 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 NU Primary

Addresses

Primary practice location

814 Radford Blvd
BLDG 7200
Albany, GA 31704-5000

Mailing address

2080 Child St # 0601
Jacksonville, FL 32214-5005
Phone (229) 639-5976

Other identifiers 1

IdentifierTypeStateIssuer
2020386OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Kings Bay13 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Kings Bay

Other organizations with this tax ID 12

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

Locations

814 Radford Blvd
Bldg 7200
Albany, GA 31704
Phone (229) 639-5976

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": "1749600000000",
    "number": "1285731034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST # 0601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "229-639-5976",
            "fax_number": "229-639-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 RADFORD BLVD",
            "address_2": "BLDG 7200",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317045000",
            "telephone_number": "229-639-5976",
            "fax_number": "229-639-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NH JACKSONVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NH JACKSONVILLE",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.