WRAMC TREASURY TPCP (NPI# 1013014869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013014869 |
| Entity Type | Organization |
| Organization Name | WRAMC TREASURY TPCP |
| Other Organization Name | WASH DC PENTAGON FLIGHT PHCY |
| Practice Address |
1760 Usaf Pentagon Washington DC 20330-0001 |
| Practice Telephone | 7036971188 |
| Practice Fax Number | 7036141663 |
| Mailing Telephone | 7036971188 |
| Mailing Fax Number | 7036141663 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2005907 | 01 |
| Other Name | Type Code |
|---|---|
| WASH DC PENTAGON FLIGHT PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831296680 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 400 7th St Sw Rm 6227, Washington, DC 20024-2585 | 2006-09-20 |
| Street Address |
1760 USAF PENTAGON |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20330-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824859 | John Stuart Baxter | Family Medicine | Pentagon, Room 4a674, Arlington, VA 20330 | 2006-01-05 |
| 1336262559 | Charles Bruce Green | Family Medicine | Hq Usaf Sg, 1780 Air Force Pentagon, Washington, DC 20330-0001 | 2007-04-10 |
| 1073780342 | Sally R Hayes | Family Medicine | 1760 Air Force Pentagon, Rm 4a870, Washington, DC 20330-1760 | 2008-05-14 |
| 1831271402 | Eugene Vincent Bonventre | Preventive Medicine | Pentagon Flight Medicine Clinic, 1760 Air Force Pentagon Room 4a674, Washington, DC 20330-1760 | 2006-10-20 |
| 1336118660 | Darlene P Smallman | Family Medicine | Pentagon Flight Medicine Rm 4a870, 1760 Air Force Pentagon, Washington, DC 20330-1760 | 2006-03-17 |
| 1669460556 | George Peach Taylor Jr. | Preventive Medicine | Hq Usaf/sg, 1780 Air Force Pentagon, Washington, DC 20330-1780 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| Find all providers in WASHINGTON | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492093 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Branch Health Clinic Wny, 915 N Street S.e Bldg 175, Washington, DC 20374-5022 | 2014-06-16 |
| 1689888455 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 103 3rd Ave, Building 58, Washington, DC 20319-5058 | 2007-05-10 |
| 1649379363 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bldg 2 Rm 7817, Washington, DC 20012 | 2006-09-21 |
| 1558460279 | Wramc | Military/U.S. Coast Guard Pharmacy | Rm 1po2 Bldg 2, Washington, DC 20307-0001 | 2006-09-21 |
| 1730288457 | Wramc | Military/U.S. Coast Guard Pharmacy | Rm 7817 Bldg 2, Washington, DC 20307-0001 | 2006-09-21 |
| 1487751236 | Us Capital Phcy | Military/U.S. Coast Guard Pharmacy | Us Capital # H166, Washington, DC 20515-0001 | 2006-09-20 |
| 1922105774 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | 901 M St Se Bldg 183, Washington, DC 20374-0001 | 2006-09-20 |
| 1104923952 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2006-09-20 |
| 1831296680 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 400 7th St Sw Rm 6227, Washington, DC 20024-2585 | 2006-09-20 |
| 1861806697 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2014-06-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20330 |
Please comment or provide details below to improve the information on WRAMC TREASURY TPCP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.