NPIMap

Organization Active NPI

36TH Medgrp-Marianas Guam

  • Military/U.S. Coast Guard Pharmacy
  • Agana, GU
National Provider Identifier
1861804643
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
36TH MEDGRP-MARIANAS GUAM
Practice address
36TH Medical Support Squadron
26001
Agana, GU 96910
Phone
(671) 366-5271
Fax
(671) 366-1229
NPI assigned
May 28, 2014
Organization subpart
Yes
Parent organization
36TH MEDGRP-MARIANAS GUAMAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Hector Morales
Title
Dha Pod
Phone
(210) 536-6118

Corporate family (same tax ID) 42

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

View all 42

National Provider Directory

Tax ID family
Landstuhl Regional Medical Center (43 organizations share this tax ID)
Part of
36TH Medgrp-Marianas Guam

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

36TH Medical Support Squadron
26001
Agana, GU 96910

Mailing address

Ermc Uniform Business Office
CMR 402 BLDG 3700 Ermc Ubo
Agana, GU 96910
Phone (671) 366-5271

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2145944OtherPK

Other names 1

NPPES NPI Registry
  • DOD ANDERSEN GUAM PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2025.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1861804643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ERMC UNIFORM BUSINESS OFFICE",
            "address_2": "CMR 402 BLDG 3700 ERMC UBO",
            "city": "AGANA",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-366-5271",
            "fax_number": "671-366-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36TH MEDICAL SUPPORT SQUADRON",
            "address_2": "26001",
            "city": "AGANA",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-366-5271",
            "fax_number": "671-366-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "36TH MEDGRP-MARIANAS GUAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "36TH MEDGRP-MARIANAS GUAM",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "DHA POD",
        "authorized_official_telephone_number": "210-536-6118"
    },
    "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": "2145944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD ANDERSEN GUAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agana, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.