NPIMap

Organization Active NPI

Ach Blanchfield-Ft Campbell

Doing business as Campb Cbpcc SE Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Clarrksville, TN
National Provider Identifier
1891095154
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
ACH BLANCHFIELD-FT CAMPBELL
Doing business as
Campb Cbpcc SE Phcy
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
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ACH BLANCHFIELD-FT CAMPBELLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 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 Primary

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 names 1

  • CAMPB CBPCC SE PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blanchfield Army Community Hospital24 organizations share this tax ID, including this one
Part of
Blanchfield Army Community Hospital

Other organizations with this tax ID 23

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

View all 23

Locations

647 Dunlop Ln
Ste 301
Clarksville, TN 37040
Phone (270) 461-5016

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1891095154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
            "address_2": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CBPCC- GATEWAY PHARMACY",
            "address_2": "MEDICAL OFFICE BULDG ONE 647 DUNLOP LANE , SUITE 301",
            "city": "CLARRKSVILLE",
            "state": "TN",
            "postal_code": "370400000",
            "telephone_number": "270-798-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACH BLANCHFIELD-FT CAMPBELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACH BLANCHFIELD-FT CAMPBELL",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMPB CBPCC SE PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.