Hickam Phcy

Primary specialty

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

Legal business name

HICKAM PHCY

Practice address

755 Scott Cir
Hickam Afb, HI 96853-5399

Phone

(808) 448-6242

Fax

(808) 448-6740

NPI assigned

Sep 21, 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

15TH Medgrp JBHP-Hickam2 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.

• 15TH Medgrp JBHP-Hickam

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Honolulu, HI
  • NPI 1588638167
  NPD tax ID

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1649379322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SCOTT CIR",
            "city": "HICKAM AFB",
            "state": "HI",
            "postal_code": "968535399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SCOTT CIR",
            "city": "HICKAM AFB",
            "state": "HI",
            "postal_code": "968535399",
            "telephone_number": "808-448-6242",
            "fax_number": "808-448-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKAM PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "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": "1203900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Rose Guthrie, DPT
• Tina Hairston
• Anthony Mark Hall, CADAC
• Robert Hetue, PHARMD
• Hickam Afb 15TH MDG
• Michael Johnson Hsu, PHARM D
• Yvonne M Johnson, PA
• Micah T Keaney, PSYD
• John Hankil Kim, D.O.
• Melissa Sue Kruse, DDS

• Military/U.S. Coast Guard Pharmacy in Hickam Afb, HI
• Providers in Hickam Afb, HI by specialty
• Military/U.S. Coast Guard Pharmacy in Hawaii

• 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.