NPIMap

Organization Active NPI

NMC San Diego

  • Military/U.S. Coast Guard Pharmacy
  • El Centro, CA
National Provider Identifier
1720187776
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NMC SAN DIEGO
Practice address
523 S 8TH St
BLDG 523
El Centro, CA 92243
Phone
(760) 339-2631
Fax
(619) 532-5898
NPI assigned
Sep 22, 2006
Organization subpart
Yes
Parent organization
NMC SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 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

523 S 8TH St
BLDG 523
El Centro, CA 92243

Mailing address

34520 Bob Wilson Dr Ste 20
Captain Olaf Naugen
San Diego, CA 92134-2020
Phone (760) 339-2631

Other identifiers 1

IdentifierTypeStateIssuer
2028488OtherPK

Other names 1

  • SAN DG EL CENTRO PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Naval Medical Center San Diego26 organizations share this tax ID, including this one
Part of
Naval Medical Center San Diego

Other organizations with this tax ID 25

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

View all 25

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": "1751241600000",
    "number": "1720187776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34520 BOB WILSON DR STE 20",
            "address_2": "CAPTAIN OLAF NAUGEN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342020",
            "telephone_number": "760-339-2631",
            "fax_number": "619-532-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S 8TH ST",
            "address_2": "BLDG 523",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-339-2631",
            "fax_number": "619-532-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC SAN DIEGO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "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": "2028488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN DG EL CENTRO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

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