NPIMap

Organization Active NPI

NMC Camp Lejeune

  • Military/U.S. Coast Guard Pharmacy
  • Camp Lejeune, NC
National Provider Identifier
1710252499
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
NMC CAMP LEJEUNE
Practice address
A Street
BLDG # RR 440
Camp Lejeune, NC 28542-0117
Phone
(910) 440-0011
Fax
(910) 440-1095
NPI assigned
Mar 14, 2012
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NMC CAMP LEJEUNEAs 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
Mr. William Michael Condon
Title
Navy Medicine Ubo Program Manager
Phone
(240) 401-3643

Specialties & licenses 1

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

Addresses

Primary practice location

A Street
BLDG # RR 440
Camp Lejeune, NC 28542-0117

Mailing address

PSC Box 20117
Camp Lejeune, NC 28542-0117
Phone (910) 440-0011

Other identifiers 1

IdentifierTypeStateIssuer
2134220OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Branch Dental Clinic New River25 organizations share this tax ID, including this one
Part of
Branch Dental Clinic New River

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1710252499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC BOX 20117",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420117",
            "telephone_number": "910-440-0011",
            "fax_number": "210-295-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A STREET",
            "address_2": "BLDG # RR 440",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420117",
            "telephone_number": "910-440-0011",
            "fax_number": "910-440-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC CAMP LEJEUNE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC CAMP LEJEUNE",
        "enumeration_date": "2012-03-14",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "NAVY MEDICINE UBO PROGRAM MANAGER",
        "authorized_official_telephone_number": "240-401-3643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

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.