Organization Active NPI

NMC San Diego

  • Military/U.S. Coast Guard Pharmacy
  • San Diego, CA
National Provider Identifier
1366856437
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NMC SAN DIEGO
Practice address
34800 Bob Wilson Dr Ste 1
San Diego, CA 92134-5000
Phone
(619) 532-8400
Fax
(760) 763-1024
NPI assigned
Jun 17, 2014
Organization subpart
Yes
Parent organization
NMC SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 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 Posc
Phone
(210) 536-6650

Specialties & licenses 1

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

Addresses

Primary practice location

34800 Bob Wilson Dr Ste 1
San Diego, CA 92134-5000

Mailing address

Co Captain Olaf Haugen
34520 Bob Wilson Dr Ste 20
San Diego, CA 92134-0001
Phone (619) 532-8400

Other identifiers 1

IdentifierTypeStateIssuer
2146228OtherPK

Other names 1

  • DOD SAN DIEGO PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Naval Medical Center San Diego26 organizations share this tax ID, including this one
Part of
Naval Medical Center San Diego

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1366856437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CO CAPTAIN OLAF HAUGEN",
            "address_2": "34520 BOB WILSON DR STE 20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "619-532-8400",
            "fax_number": "619-532-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345000",
            "telephone_number": "619-532-8400",
            "fax_number": "760-763-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC SAN DIEGO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "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"
    },
    "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": "2146228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD SAN DIEGO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.