Walter Reed National Military Med Center

Primary specialty

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

Legal business name

WALTER REED NATIONAL MILITARY MED CENTER

Doing business as

Quantico Main Phcy

Practice address

NMC 2200 Lester Avenue
Quantico, VA 22134

Phone

(703) 784-1579

Fax

(703) 784-1592

NPI assigned

Sep 22, 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

Chief Dha Pass

Phone

(210) 536-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QUANTICO MAIN PHCY Doing business as

Tax ID family

Quantico Main Phcy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Quantico Special Order Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Quantico, VA
  • NPI 1346302403
  NPD tax ID

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1598864621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QUANTICO NMC ATTN: THIRD PARTY BILLING",
            "address_2": "3259 CATLIN AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-784-1579",
            "fax_number": "703-784-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NMC 2200 LESTER AVENUE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-784-1579",
            "fax_number": "703-784-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER REED NATIONAL MILITARY MED CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-08-25",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUANTICO MAIN PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelito Vera Cruz II, M.S. ED., ATC, VATL
• Francisco Xavier Veray IV, D.D.S, M.S
• Ashley Voss, D.O.
• Tionell Waddler, LPC
• Hollie J Wakelyn, PHARMD
• Nicole Gay Ward, DMD
• Lesley Michelle Washington
• Sarah Lynn Weaver, APRN
• Maryellen Vogt Wetmore, RN
• Sydney White

• Military/U.S. Coast Guard Pharmacy in Quantico, VA
• Providers in Quantico, VA by specialty
• Military/U.S. Coast Guard Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.