Hurlburt Main Phcy

Primary specialty

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

Legal business name

HURLBURT MAIN PHCY

Practice address

113 Lielmanis Ave
BLDG 91020
Hurlburt Field, FL 32544-5613

Phone

(850) 881-2133

Fax

(850) 881-2323

NPI assigned

Sep 20, 2006

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

MGR Phrmcy Operations CNTR

Phone

(210) 221-8443

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

16TH Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• 1St SPCL Ops Medgrp-Hurlburt

  dba 16th Medical Group

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Hurlburt Field, FL
  • NPI 1568442630
  NPD tax ID
• Hurlburt Call-in Refills Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Hurlburt Field, FL
  • NPI 1780747063
  NPD tax ID

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1568569317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "address_2": "BLDG 91020",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "address_2": "BLDG 91020",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-2133",
            "fax_number": "850-881-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLBURT MAIN PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "MGR PHRMCY OPERATIONS CNTR",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1088788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Clay Hollandsworth, IDMT
• Edwin Brint Hollis
• Crystal M Holmes, LCMHC
• Bradley Edward Hudson
• Hurlburt Call-in Refills Phcy
• Frederick Dale Hutchison, PA
• Mario Antonio Ibarra
• Deanna Iseppi, DPT
• James Andrew Jack, IDMT
• Samuel Jennings, PHYSICIAN ASSISTANT

• Military/U.S. Coast Guard Pharmacy in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Military/U.S. Coast Guard Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.