NPIMap

Organization Active NPI

Ach Leonard Wood

  • Military/U.S. Coast Guard Pharmacy
  • Fort Leonard Wood, MO
National Provider Identifier
1689773012
Registry record updated May 29, 2025
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
4430 Missouri Ave # 1242
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-1898
Fax
(573) 596-0405
NPI assigned
Sep 22, 2006
Organization subpart
Yes
Parent organization
ACH LEONARD WOODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

4430 Missouri Ave # 1242
Fort Leonard Wood, MO 65473-9098

Mailing address

4430 Missouri Ave # 1242
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-1898

Other identifiers 1

IdentifierTypeStateIssuer
2048345OtherPK

Other names 1

  • L WOOD CTMC PHARMACY 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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1689773012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE # 1242",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-1898",
            "fax_number": "573-596-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE # 1242",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-1898",
            "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": "2006-09-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "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": "2048345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L WOOD CTMC PHARMACY",
            "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 29, 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.