Active NPI
Alexander T Augusta Med Ctr-Ft Belvoir
- Military/U.S. Coast Guard Pharmacy
- Washington, DC
National Provider Identifier
1861806697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Pharmacy
- Legal business name
- ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
- Practice address
- 1501 Defense Pentagon
Washington, DC 20310-0001 - Phone
- (703) 692-8692
- Fax
- (703) 692-0899
- NPI assigned
- Jun 19, 2014
- Organization subpart
- Yes
- Parent organization
- ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Michael Condon
- Title
- Dha Ubo
- Phone
- (240) 401-3643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | Primary |
Addresses
Primary practice location
1501 Defense Pentagon
Washington, DC 20310-0001
Mailing address
National Naval Medical Ctr
Co CDR Pius Aiyelawo 8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (703) 692-8692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146335 | Other | PK |
Other names 1
- DOD DILORENZO PENTAGON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Walter Reed National Military Med Center
- Part of
- Walter Reed National Military Medical Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Washington, DC
- NPI 1720292501
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Washington, DC
- NPI 1881897544
-
- Military/U.S. Coast Guard Pharmacy
- Bethesda, MD
- NPI 1184030223
-
- Military Hospital
- Bethesda, MD
- NPI 1407165053
-
- Military Hospital
- Bethesda, MD
- NPI 1598180507
Locations
1501 Defense Pentagon
Washington, DC 20310
Phone (703) 692-8692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1861806697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NATIONAL NAVAL MEDICAL CTR",
"address_2": "CO CDR PIUS AIYELAWO 8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "703-692-8692",
"fax_number": "703-692-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 DEFENSE PENTAGON",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203100001",
"telephone_number": "703-692-8692",
"fax_number": "703-692-0899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER T AUGUSTA MED CTR-FT BELVOIR",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALEXANDER T AUGUSTA MED CTR-FT BELVOIR",
"enumeration_date": "2014-06-19",
"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": "DHA UBO",
"authorized_official_telephone_number": "240-401-3643"
},
"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": "2146335",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DOD DILORENZO PENTAGON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, DC
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.