NPIMap

Organization Active NPI

AMC Madigan-Ft Lewis

  • Military/U.S. Coast Guard Pharmacy
  • Puyallup, WA
National Provider Identifier
1316243744
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
AMC MADIGAN-FT LEWIS
Practice address
10507 156TH St E
Suite 112
Puyallup, WA 98374-9361
Phone
(253) 307-5433
NPI assigned
Feb 2, 2011
Organization subpart
Yes
Parent organization
AMC MADIGAN-FT LEWISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hector Morales
Title
Deputy Director of Pharmacy Ops
Phone
(210) 221-8274

Specialties & licenses 1

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

Addresses

Primary practice location

10507 156TH St E
Suite 112
Puyallup, WA 98374-9361

Mailing address

9040A Jackson Ave
Attn: MCHJ-Csa-U
Tacoma, WA 98431-0001
Phone (253) 968-6598

Other identifiers 3

IdentifierTypeStateIssuer
1841390077OtherPARENT BILLING FACILITY NPI
1851605356OtherFACILITY NPI
4933924OtherNCPDP

Other names 2

  • JBLM PUYALLUP CMH PHARMACY Doing business as
  • MADIGAN PUYALLUP PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madigan Army Medical Ctr33 organizations share this tax ID, including this one
Part of
Madigan Army Medical Ctr

Other organizations with this tax ID 32

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

View all 32

Locations

10507 156th St E
Ste 112
Puyallup, WA 98374
Phone (253) 307-5433

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1316243744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "address_2": "ATTN: MCHJ-CSA-U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 156TH ST E",
            "address_2": "SUITE 112",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749361",
            "telephone_number": "253-307-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC MADIGAN-FT LEWIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC MADIGAN-FT LEWIS",
        "enumeration_date": "2011-02-02",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR OF PHARMACY OPS",
        "authorized_official_telephone_number": "210-221-8274"
    },
    "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": "PARENT BILLING FACILITY NPI",
            "identifier": "1841390077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1851605356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4933924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JBLM PUYALLUP CMH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MADIGAN PUYALLUP PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.