NPIMap

Organization Active NPI

Walter Reed National Military Med Center

  • Military/U.S. Coast Guard Pharmacy
  • Sugar Grove, WV
National Provider Identifier
1326147463
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
WALTER REED NATIONAL MILITARY MED CENTER
Doing business as
SUGAR GROVE PHCY
Practice address
BMC BLDG 63
Sugar Grove, WV 26815
Phone
(304) 249-6380
Fax
(304) 249-6379
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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 1

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

Addresses

Primary practice location

BMC BLDG 63
Sugar Grove, WV 26815

Mailing address

BMC BLDG 63
Sugar Grove, WV 26815
Phone (304) 249-6380

Other identifiers 1

IdentifierTypeStateIssuer
2111427OtherPK

Other names 1

  • SUGAR GROVE PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Naval Medical Center29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1326147463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMC BLDG 63",
            "city": "SUGAR GROVE",
            "state": "WV",
            "postal_code": "26815",
            "telephone_number": "304-249-6380",
            "fax_number": "304-249-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BMC BLDG 63",
            "city": "SUGAR GROVE",
            "state": "WV",
            "postal_code": "26815",
            "telephone_number": "304-249-6380",
            "fax_number": "304-249-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER REED NATIONAL MILITARY MED CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-01-20",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111427",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUGAR GROVE PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Grove, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.