Uscg Traverse City Pharmacy

Primary specialty

Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X

Legal business name

USCG TRAVERSE CITY PHARMACY

Practice address

1175 Airport Rd
Traverse City, MI 49686

Phone

(231) 922-8290

Fax

(231) 922-8292

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Addresses

Other names 1

• USCG TRAVERSE CITY PHARMACY Doing business as

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1508522939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 1000",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235109109",
            "telephone_number": "231-922-8290",
            "fax_number": "231-922-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 AIRPORT RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-922-8290",
            "fax_number": "231-922-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG TRAVERSE CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-27",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USCG TRAVERSE CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Up North Chiropractic PLLC
• Ryan Matthew Urbonas, D.O.
• Urgent Care of Traverse City PLLC
• Uscg Airsta Traverse City Clinic
• Uscg Medical Center
• Maxwell Jackson Uschuk, MD
• V Dermatology
• Susan Valensky, M.A., CF-SLP
• Jeffrey M Valice, DO
• Kayla Van Acker, DPT

• Military/U.S. Coast Guard Pharmacy in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Military/U.S. Coast Guard Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.