NPIMap

Organization Active NPI

Ft Meade Meddac

  • Military/U.S. Coast Guard Pharmacy
  • Carlisle, PA
National Provider Identifier
1992108633
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
FT MEADE MEDDAC
Practice address
450 Gibner Rd
Carlisle, PA 17013-5090
Phone
(571) 821-7700
Fax
(571) 821-8321
NPI assigned
Oct 8, 2014
Organization subpart
Yes
Parent organization
FT MEADE MEDDACAs 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

450 Gibner Rd
Carlisle, PA 17013-5090

Mailing address

National Naval Medical Ctr
Co CDR Pius Aiyelawo 8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (717) 245-4606

Other identifiers 1

IdentifierTypeStateIssuer
2148182OtherPK

Other names 1

  • DOD CARLISLE DUNHAM PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ft Meade Meddac25 organizations share this tax ID, including this one
Part of
Ft Meade Meddac

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1992108633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NATIONAL NAVAL MEDICAL CTR",
            "address_2": "CO CDR PIUS AIYELAWO 8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "717-245-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIBNER RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170135090",
            "telephone_number": "571-821-7700",
            "fax_number": "571-821-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT MEADE MEDDAC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FT MEADE MEDDAC",
        "enumeration_date": "2014-10-08",
        "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": "2148182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD CARLISLE DUNHAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, PA

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.