NPIMap

Organization Active NPI

Ach Leonard Wood

  • Military/U.S. Coast Guard Pharmacy
  • Fort Leonard Wood, MO
National Provider Identifier
1609289362
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
ACH LEONARD WOOD
Practice address
4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-1490
Fax
(573) 596-0405
NPI assigned
Jun 10, 2014
Organization subpart
Yes
Parent organization
ACH LEONARD WOODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

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

Addresses

Primary practice location

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098

Mailing address

4234 Illinois Ave
Box 1242
Fort Leonard Wood, MO 64573
Phone (573) 596-1490

Other identifiers 1

IdentifierTypeStateIssuer
2146212OtherPK

Other names 1

  • DoD FT LEONARD WOOD ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
General Leonard Wood Army Community Hospital11 organizations share this tax ID, including this one
Part of
General Leonard Wood Army Community Hospital

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1609289362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 ILLINOIS AVE",
            "address_2": "BOX 1242",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "64573",
            "telephone_number": "573-596-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 ILLINOIS AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-1490",
            "fax_number": "573-596-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACH LEONARD WOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACH LEONARD WOOD",
        "enumeration_date": "2014-06-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "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": "2146212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD FT LEONARD WOOD ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.