Organization Active NPI

AMC Womack-Ft Bragg

Doing business as DoD FT BRAGG ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Fort Liberty, NC
National Provider Identifier
1912310772
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
AMC WOMACK-FT BRAGG
Doing business as
DoD FT BRAGG ePhcy
Practice address
2817 Rock Merritt Ave Stop a Attn: MCXC-Ca-Ubo
Fort Liberty, NC 28310-5000
Phone
(910) 907-7497
Fax
(910) 570-3371
NPI assigned
Jun 9, 2014
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMC WOMACK-FT BRAGGAs 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
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

2817 Rock Merritt Ave Stop a Attn: MCXC-Ca-Ubo
Fort Liberty, NC 28310-5000

Mailing address

2817 Rock Merritt Ave Stop a Attn: MCXC-Ca-Ubo
Fort Liberty, NC 28310-5000
Phone (910) 907-7497

Other identifiers 1

IdentifierTypeStateIssuer
2145980OtherPK

Other names 1

  • DoD FT BRAGG ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Womack Army Medical Center28 organizations share this tax ID, including this one
Part of
Womack Army Medical Center

Other organizations with this tax ID 27

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

View all 27

Locations

2817 Rock Merritt Ave
Stop A Attn Mcxccaubo
Fort Bragg, NC 28310
Phone (910) 907-7497

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1912310772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A ATTN: MCXC-CA-UBO",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283105000",
            "telephone_number": "910-907-7497",
            "fax_number": "910-570-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A ATTN: MCXC-CA-UBO",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283105000",
            "telephone_number": "910-907-7497",
            "fax_number": "910-570-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC WOMACK-FT BRAGG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC WOMACK-FT BRAGG",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD FT BRAGG ePhcy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DoD FT BRAGG ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Liberty, NC

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.