Organization Active NPI

Quantico Special Order Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Quantico, VA
National Provider Identifier
1346302403
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
QUANTICO SPECIAL ORDER PHCY
Practice address
NMC 2200 Lester Avenue
Quantico, VA 22134
Phone
(703) 784-1579
Fax
(703) 784-1579
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Hector Morales
Title
Pharmacy Operations Center MGR
Phone
(210) 221-8443

Specialties & licenses 1

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

Addresses

Primary practice location

NMC 2200 Lester Avenue
Quantico, VA 22134

Mailing address

NMC 2200 Lester Avenue
Quantico, VA 22134
Phone (703) 784-1579

National Provider Directory

National Provider Directory
Tax ID family
Quantico Main Phcy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1346302403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NMC 2200 LESTER AVENUE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-784-1579",
            "fax_number": "703-784-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NMC 2200 LESTER AVENUE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-784-1579",
            "fax_number": "703-784-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTICO SPECIAL ORDER PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS CENTER MGR",
        "authorized_official_telephone_number": "210-221-8443"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quantico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.