NPIMap

Organization Active NPI

Traverse City Uscg Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Traverse City, MI
National Provider Identifier
1891892642
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
TRAVERSE CITY USCG PHCY
Practice address
1175 Airport Access Rd
Traverse City, MI 49686-3513
Phone
(231) 922-8290
Fax
(231) 922-8292
NPI assigned
Sep 20, 2006
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hector Morales
Title
MGR Phrmcy Operations CNTR
Phone
(210) 221-8443

Specialties & licenses 1

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

Addresses

Primary practice location

1175 Airport Access Rd
Traverse City, MI 49686-3513

Mailing address

1175 Airport Access Rd
Traverse City, MI 49686-3513

Other identifiers 1

IdentifierTypeStateIssuer
2364432OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Atlantic City Uscg Phcy20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1891892642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 AIRPORT ACCESS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 AIRPORT ACCESS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863513",
            "telephone_number": "231-922-8290",
            "fax_number": "231-922-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE CITY USCG PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "MGR PHRMCY OPERATIONS CNTR",
        "authorized_official_telephone_number": "210-221-8443"
    },
    "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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2364432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.