NPIMap

Organization Active NPI

AMC William Beaumont-Ft Bliss

Doing business as Dod White Sands Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • White Sands Missile Range, NM
National Provider Identifier
1952716896
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
AMC WILLIAM BEAUMONT-FT BLISS
Doing business as
Dod White Sands Pharmacy
DoD WHITE SANDS MR ePhcy
Practice address
1363 Aberdeen Road
White Sands Missile Range, NM 88002-5520
Phone
(575) 674-3564
Fax
(575) 674-3620
NPI assigned
Jun 30, 2014
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMC WILLIAM BEAUMONT-FT BLISSAs 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 NU Primary

Addresses

Primary practice location

1363 Aberdeen Road
White Sands Missile Range, NM 88002-5520

Mailing address

William Beaumont Army Medical Center
C/O Treasurers Office 5005 N. Piedras St.
El Paso, TX 79920-5001
Phone (575) 674-3564

Other identifiers 1

IdentifierTypeStateIssuer
2146594OtherPK

Other names 2

  • DOD WHITE SANDS PHARMACY Doing business as
  • DoD WHITE SANDS MR ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
AMC William Beaumont-Ft Bliss18 organizations share this tax ID, including this one
Part of
AMC William Beaumont-Ft Bliss

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1952716896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
            "address_2": "C/O TREASURERS OFFICE 5005 N. PIEDRAS ST.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "575-674-3564",
            "fax_number": "575-674-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 ABERDEEN ROAD",
            "city": "WHITE SANDS MISSILE RANGE",
            "state": "NM",
            "postal_code": "880025520",
            "telephone_number": "575-674-3564",
            "fax_number": "575-674-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC WILLIAM BEAUMONT-FT BLISS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC WILLIAM BEAUMONT-FT BLISS",
        "enumeration_date": "2014-06-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD WHITE SANDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DoD WHITE SANDS MR ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Sands Missile Range, NM

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.