NPIMap

Organization Active NPI

Ahc McDonald-Eustis

Doing business as Dod Ft Eustis Cpbcc Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Williamsburg, VA
National Provider Identifier
1609339340
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
AHC MCDONALD-EUSTIS
Doing business as
Dod Ft Eustis Cpbcc Pharmacy
Practice address
5309 Discovery Park Blvd
Williamsburg, VA 23188-2789
Phone
(757) 914-6355
Fax
(757) 914-6350
NPI assigned
Apr 10, 2019
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AHC MCDONALD-EUSTISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosemary Gonzalez
Title
MTF Support Analyst
Phone
(210) 536-6096

Specialties & licenses 1

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

Addresses

Primary practice location

5309 Discovery Park Blvd
Williamsburg, VA 23188-2789

Mailing address

576 Jefferson Ave
Fort Eustis, VA 23604-1373
Phone (757) 914-6000

Other names 1

  • DOD FT EUSTIS CPBCC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahc McDonald-Eustis12 organizations share this tax ID, including this one
Part of
Ahc McDonald-Eustis

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1609339340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041373",
            "telephone_number": "757-914-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 DISCOVERY PARK BLVD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882789",
            "telephone_number": "757-914-6355",
            "fax_number": "757-914-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC MCDONALD-EUSTIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC MCDONALD-EUSTIS",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "MTF SUPPORT ANALYST",
        "authorized_official_telephone_number": "210-536-6096"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD FT EUSTIS CPBCC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.