WALTER REED NATIONAL MILITARY MED CENTER (NPI# 1194028407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194028407 |
| Entity Type | Organization |
| Organization Name | WALTER REED NATIONAL MILITARY MED CENTER |
| Other Organization Name | BETHESDA BLDG 19 PHCY |
| Practice Address |
8901 Wisconsin Ave Bethesda MD 20889-0001 |
| Mailing Address |
4650 Taylor Rd Box 509 Bethesda MD 20889-5600 |
| Practice Telephone | 3102952113 |
| Practice Fax Number | 3102954662 |
| Mailing Telephone | 3102952113 |
| Mailing Fax Number | 3102954662 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2015-08-07 |
| 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 | 2127933 | 01 |
| Other Name | Type Code |
|---|---|
| BETHESDA BLDG 19 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 |
| 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 |
| 1700948270 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
| Street Address |
8901 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
| 1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
| 1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
| 1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
| 1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
| 1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
| 1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| 1558983296 | Mason Cleary Ditthardt Fortuno | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| 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 |
|---|---|---|---|---|
| 1063763241 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave Dept Ofphcy, Bldg 9, Room 2303, Bethesda, MD 20889-0001 | 2012-09-27 |
| 1366728990 | Walter Rred Military National Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bldg 9 2nd Floor, Bethesda, MD 20889-0001 | 2011-10-27 |
| 1902182538 | Walter Reed National Military Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bldg 9 2nd Floor, Bethesda, MD 20889-0001 | 2011-10-27 |
| 1578868444 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2011-01-24 |
| 1720292501 | Walter Reed National Military Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Psc Box 509 Code 6300, Bethesda, MD 20889-5600 | 2007-05-10 |
| 1538221957 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
| 1114089612 | Bethesda Refill Phcy-nnmc Main | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889 | 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 |
| 1134281686 | Bethesda Refill Phcy-annapolis | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889 | 2006-12-14 |
| Find all providers in BETHESDA | ||||
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| 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.