Uscg Atlantic City Pharmacy

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

USCG ATLANTIC CITY PHARMACY

Doing business as

Uscg Atlantic City Pharmacy

Practice address

BLDG 350
Atlantic City, NJ 08405-0001

Phone

(609) 677-2007

Fax

(609) 617-2143

NPI assigned

Nov 16, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hector Morales

Title

Chief Dha Pass

Phone

(210) 536-6650

Specialties & licenses 1

Addresses

Other names 1

• USCG ATLANTIC CITY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1720744550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 350",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084050001",
            "telephone_number": "609-677-2007",
            "fax_number": "609-617-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 350",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084050001",
            "telephone_number": "609-677-2007",
            "fax_number": "609-617-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG ATLANTIC CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USCG ATLANTIC CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark J Twardzik, DPM
• Raymond Twum-Barima, APN
• United Laboratory Services of America
• Scott Michael Urban, D,O.
• Muhammad Usama, MD
• Sandeep Kumar Valluri
• Christopher Vandenberg, MD
• Erik Vandenberg
• Melenis Velez
• Yolanda Velezpadilla

• Military/U.S. Coast Guard Outpatient Clinic/Center in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.