NPIMap

Organization Active NPI

NH Jacksonville

Doing business as Dod Kings Bay Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Kings Bay, GA
National Provider Identifier
1376640128
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
NH JACKSONVILLE
Doing business as
Dod Kings Bay Pharmacy
Practice address
881 Uss James Madison Rd BLDG 1028
Navsubase
Kings Bay, GA 31547-2531
Phone
(912) 673-4264
Fax
(912) 673-3761
NPI assigned
Sep 20, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NH JACKSONVILLEAs 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 Posc
Phone
(210) 536-6650

Specialties & licenses 1

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

Addresses

Primary practice location

881 Uss James Madison Rd BLDG 1028
Navsubase
Kings Bay, GA 31547-2531

Mailing address

881 Uss James Madison Rd BLDG 1028
Navsubase
Kings Bay, GA 31547-2531
Phone (912) 673-4264

Other names 1

  • DOD KINGS BAY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Kings Bay13 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Kings Bay

Other organizations with this tax ID 12

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

Locations

881 USS James Madison Rd
Bldg 1028
Kings Bay, GA 31547
Phone (912) 573-4212

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1376640128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 USS JAMES MADISON RD BLDG 1028",
            "address_2": "NAVSUBASE",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315472531",
            "telephone_number": "912-673-4264",
            "fax_number": "912-673-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 USS JAMES MADISON RD BLDG 1028",
            "address_2": "NAVSUBASE",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315472531",
            "telephone_number": "912-673-4264",
            "fax_number": "912-673-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NH JACKSONVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NH JACKSONVILLE",
        "enumeration_date": "2006-09-20",
        "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 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD KINGS BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOD KINGS BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Bay, GA

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.