NPIMap

Organization Active NPI

AMC Eisenhower

Doing business as DoD SOUTHCOM ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Doral, FL
National Provider Identifier
1366997108
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
AMC EISENHOWER
Doing business as
DoD SOUTHCOM ePhcy
Practice address
9301 NW 33Rd St
Army Health Clinic Southcom
Doral, FL 33172-1202
Phone
(305) 437-1749
Fax
(305) 437-1149
NPI assigned
Aug 22, 2016
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMC EISENHOWERAs 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
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

9301 NW 33Rd St
Army Health Clinic Southcom
Doral, FL 33172-1202

Mailing address

Eisenhower Army Medical Center
300 W Hospital Rd Attn: MCHF-Pad
Ft Gordon, GA 30905-5741

Other identifiers 1

IdentifierTypeStateIssuer
2163700OtherPK

Other names 1

  • DoD SOUTHCOM ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
AMC Eisenhower16 organizations share this tax ID, including this one
Part of
AMC Eisenhower

Other organizations with this tax ID 15

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

View all 15

Locations

9301 NW 33rd St
Doral, FL 33172
Phone (305) 437-1150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1366997108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "300 W HOSPITAL RD ATTN: MCHF-PAD",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 NW 33RD ST",
            "address_2": "ARMY HEALTH CLINIC SOUTHCOM",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721202",
            "telephone_number": "305-437-1749",
            "fax_number": "305-437-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC EISENHOWER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC EISENHOWER",
        "enumeration_date": "2016-08-22",
        "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 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
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD SOUTHCOM ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

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.