Organization Active NPI

Alexander T Augusta Med Ctr-Ft Belvoir

  • Military/U.S. Coast Guard Pharmacy
  • Washington, DC
National Provider Identifier
1861806697
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
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 BELVOIRAs 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
William Michael Condon
Title
Dha Ubo
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2146335OtherPK

Other names 1

  • DOD DILORENZO PENTAGON PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walter Reed National Military Med Center6 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.