Organization Active NPI

AMC Madigan-Ft Lewis

Doing business as JBLM McChord Clinic Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Joint Base Lewis McChord, WA
National Provider Identifier
1700048972
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
AMC MADIGAN-FT LEWIS
Doing business as
JBLM McChord Clinic Pharmacy
Practice address
690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303
Phone
(253) 982-2478
NPI assigned
Jun 30, 2008
Organization subpart
Yes
Parent organization
AMC MADIGAN-FT LEWISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303

Mailing address

Madigan Army Medical Ctr
9040A Fitzsimmons Dr
Tacoma, WA 98431-0001
Phone (210) 221-8274

Other identifiers 1

IdentifierTypeStateIssuer
2109178OtherPK

Other names 1

  • JBLM MCCHORD CLINIC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madigan Army Medical Ctr33 organizations share this tax ID, including this one
Part of
Madigan Army Medical Ctr

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1700048972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "9040A FITZSIMMONS DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "210-221-8274",
            "fax_number": "210-221-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BARNES BLVD",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984381303",
            "telephone_number": "253-982-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC MADIGAN-FT LEWIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC MADIGAN-FT LEWIS",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "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
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JBLM MCCHORD CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joint Base Lewis McChord, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.