WALTER REED NATIONAL MILITARY MED CENTER (NPI# 1063519817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063519817 |
| Entity Type | Organization |
| Organization Name | WALTER REED NATIONAL MILITARY MED CENTER |
| Other Organization Name | CARLISLE DUNHAM MAIN PHCY |
| Practice Address |
450 Gibner Rd Carlisle Barracks PA 17013-5090 |
| Mailing Address |
Mcxr-cbk-tpc 450 Gibner Rd Ste 1 2480 Llewellyn Ave Ste 5800 Carlisle Barracks PA 17013 |
| Practice Telephone | 7172454509 |
| Practice Fax Number | 7172453815 |
| Mailing Telephone | 2102218274 |
| Mailing Fax Number | 2102952567 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-06-08 |
| 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 | 2085493 | 01 |
| Other Name | Type Code |
|---|---|
| CARLISLE DUNHAM MAIN PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326147463 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 63, Sugar Grove, WV 26815 | 2006-09-22 |
| 1285733303 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 9501 Farrell Rd Bldg 808, Ft Belvoir, VA 22060-5901 | 2006-09-22 |
| 1649379363 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bldg 2 Rm 7817, Washington, DC 20012 | 2006-09-21 |
| 1194028407 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2010-12-08 |
| 1114081866 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1093877086 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-12-15 |
| 1538221957 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
| 1841352358 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
| 1245392661 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
| 1275695777 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
| Street Address |
450 GIBNER RD |
| City | CARLISLE BARRACKS |
| State | PA |
| Zip Code | 17013-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154312031 | John Paul Hughes | Optometrist | 450 Gibner Rd, Carlisle Barracks, PA 17013-5003 | 2005-10-31 |
| 1629409826 | David Edward Geller | Registered Nurse | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2013-12-12 |
| 1780946780 | Tiffany Michelle Waardenburg | Dietitian, Registered | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2012-06-14 |
| 1659522464 | Abigail Joy Hamilton | Social Worker | 450 Gibner Rd, Suite #1, Carlisle Barracks, PA 17013-5090 | 2008-10-10 |
| 1174728414 | Kimbrough Acc Military Mtf | Clinic/Center | 450 Gibner Rd, Usadc, Carlisle Barracks, PA 17013-5003 | 2007-06-18 |
| 1114081866 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1336203082 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Ata Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1063574481 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Special Order Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-14 |
| 1104836097 | David D Mukai | Preventive Medicine | 450 Gibner Rd, Carlisle Barracks, PA 17013-5003 | 2006-08-09 |
| 1760490346 | Jane A Weber | Nurse Practitioner | 450 Gibner Rd, Carlisle Barracks, PA 17013 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1922578400 | Nicole Gift | Physical Therapy Assistant | Claremont Nursing and Rehab Center, 1000 Claremont Road, Carlisle, PA 17013 | 2018-11-28 |
| 1841713542 | Christine Brehm-stroman | Dental Hygienist | 197 Acre Dr, Carlisle, PA 17013 | 2017-07-25 |
| 1316317050 | Delyara Mamedova | Social Worker | 800 Belvedere Street, Carlisle, PA 17013 | 2015-10-06 |
| 1033596200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 841 Sumner Road, Bldg. 844, Carlisle Barracks, PA 17013 | 2015-04-27 |
| 1881010809 | Rachel Albright | Social Worker | 401 East Louther St, Suite 219, Carlisle, PA 17013 | 2014-03-14 |
| 1386071363 | Leslie Gail Carr | Registered Nurse | 100 N. Hanover St., Sadler Health Center - Nurse - Family Partnership, Carlisle, PA 17013 | 2013-10-04 |
| 1447518022 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Building 844 Main Exchange, Carlisle Barracks, PA 17013 | 2012-05-02 |
| 1407114309 | Elizabeth Robinson | Pharmacist | 302 York Road, Carlisle, PA 17013 | 2012-04-27 |
| 1639435530 | Bruce Kugler Storms | Social Worker | 406 E. Old York Road, Carlisle, PA 17013 | 2012-04-04 |
| Find all providers in zip 17013 | ||||
| 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 |
|---|---|---|---|---|
| 1114081866 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1336203082 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Ata Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1063574481 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Special Order Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295834455 | Willow Grove Phcy | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 137, Willow Grove, PA 19090 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1992108633 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2014-10-08 |
| 1316132871 | Delaware Bay Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 1 Washington Ave, Philadelphia, PA 19147-4335 | 2007-09-07 |
| 1730254152 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2006-11-21 |
| City | CARLISLE BARRACKS |
| Zip Code | 17013 |
Please comment or provide details below to improve the information on WALTER REED NATIONAL MILITARY MED CENTER.
| 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.