NPIMap

Organization Active NPI

Ahc Kenner-Ft Gregg-Adams

Doing business as Dod Ft Gregg-Adams TMC 2 Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Fort Lee, VA
National Provider Identifier
1811285034
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
AHC KENNER-FT GREGG-ADAMS
Doing business as
Dod Ft Gregg-Adams TMC 2 Pharmacy
Practice address
700 24TH St
Kenner Army Health Clinic
Fort Lee, VA 23801-1716
Phone
(804) 734-9141
Fax
(804) 734-9658
NPI assigned
Jul 21, 2011
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AHC KENNER-FT GREGG-ADAMSAs 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
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

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

Addresses

Primary practice location

700 24TH St
Kenner Army Health Clinic
Fort Lee, VA 23801-1716

Mailing address

300 Central Ave
BLDG 18036
Fort Lee, VA 23801-1526
Phone (804) 734-9141

Other identifiers 1

IdentifierTypeStateIssuer
2131194OtherPK

Other names 1

  • DOD FT GREGG-ADAMS TMC 2 PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walter Reed National Military Med Center9 organizations share this tax ID, including this one
Part of
Walter Reed National Military Med Center

Other organizations with this tax ID 8

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

Locations

300 Central Ave
Bldg 18036
Fort Lee, VA 23801
Phone (804) 734-5454

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1811285034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "address_2": "BLDG 18036",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011526",
            "telephone_number": "804-734-9141",
            "fax_number": "804-734-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "address_2": "KENNER ARMY HEALTH CLINIC",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9141",
            "fax_number": "804-734-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC KENNER-FT GREGG-ADAMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC KENNER-FT GREGG-ADAMS",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD FT GREGG-ADAMS TMC 2 PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, VA

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.