Ach Blanchfield-Ft Campbell
Organization Active NPI Military/U.S. Coast Guard Pharmacy · Clarrksville, TN
NPI 1891095154 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1891095154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Pharmacy 332000000X
- Legal business name
- ACH BLANCHFIELD-FT CAMPBELL
- Practice address
- Cbpcc- Gateway Pharmacy
Medical Office Buldg One 647 Dunlop Lane , Suite 301
Clarrksville, TN 37040-0000 - Phone
- (270) 798-8060
- NPI assigned
- Nov 2, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- ACH BLANCHFIELD-FT CAMPBELL
Authorized official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Blanchfield Army Community Hospital
- Part of
- Blanchfield Army Community Hospital
Locations
647 Dunlop Ln
Ste 301
Clarksville, TN 37040
Phone (270) 461-5016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | Yes |
Addresses
Primary practice location
Cbpcc- Gateway Pharmacy
Medical Office Buldg One 647 Dunlop Lane , Suite 301
Clarrksville, TN 37040-0000
Mailing address
Blanchfield Army Community Hospital
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127486 | Other | PK |
Other names
- CAMPB CBPCC SE PHCY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.