NAVAL HOSPITAL CAMP PENDLETON


Address: 533020 Basilone Road, 53 Area Camp Horno, Camp Pendleton, CA 92055
Phone: 7607257410

NAVAL HOSPITAL CAMP PENDLETON (NPI# 1194824144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194824144
Entity Type Organization
Organization Name NAVAL HOSPITAL CAMP PENDLETON
Other Organization Name CAMP PEND 53 ABMC PHCY
Practice Address 533020 Basilone Road
53 Area Camp Horno
Camp Pendleton
CA 92055
Practice Telephone 7607257410
Practice Fax Number 7607250231
Mailing Telephone 7607257410
Mailing Fax Number 7607250231
Enumeration Date 2006-09-22
Last Update Date 2018-05-25
Authorized Official Name MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL HOSPITAL CAMP PENDLETON

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2112599 01

Other Provider/Organization Names

Other Name Type Code
CAMP PEND 53 ABMC PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952765125 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 135 Santa Margarita Rd, Camp Pendelton, CA 92055 2016-04-13
1821485152 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 2015-04-24
1942697685 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 2015-04-21
1790179455 Naval Hospital Camp Pendleton Clinic/Center 41 Area Branch Medical Clinic, Bldg 414006, Camp Pendleton, CA 92055 2015-03-20
1275948143 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 2014-06-30
1285048348 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 2014-06-17
1205249042 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 2014-06-10
1972916740 Naval Hospital Camp Pendleton Pharmacy 52 Area Branch Medical, 540450 Basilone Rd, Camp Pendelton, CA 92055 2014-06-09
1275946444 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hq Regiment, 16th Street, Camp Pendelton, CA 92055 2014-06-05
1366855538 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 2014-06-05

Office Location

Street Address 533020 BASILONE ROAD
53 AREA CAMP HORNO
City CAMP PENDLETON
State CA
Zip Code 92055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962814582 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 533020 Basilone Road, 53 Area Camp Horno, Camp Pendleton, CA 92055 2014-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235730755 Zaccary Griffin Military Health Care Provider Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 2020-11-02
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
1548869571 Joshua Watersjackson Specialist/Technologist 430406 Las Pulgas, Camp Pendleton, CA 92055 2020-10-21
1235737164 Tynesha Felice Calimquim Dental Hygienist Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 2020-10-13
1801494182 Luis Alberto Necoechea Military Health Care Provider 1st Recon Bn Bas, Oceanside, CA 92055 2020-10-09
1689271603 Lorena Santodomingo Dental Hygienist Bldg 210735 C Street, Camp Pendleton, CA 92055 2020-10-02
1720695984 Douglas Thomas Duncan Dental Assistant 92055- 14th Strret, Oceanside, CA 92055 2020-09-30
1528675980 Dora Louise Young Dental Assistant 92055 14th Street, Camp Pendleton, CA 92055 2020-09-29
1306453956 Lynne Marie Reardon Dental Hygienist Bldg 310515, Camp Pendleton, CA 92055 2020-09-28
Find all providers in zip 92055

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275948143 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 2014-06-30
1285048348 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 2014-06-17
1356440317 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 14th Street, Bldg 13129, Camp Pendleton, CA 92055-5191 2006-09-22
1376642330 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Basiline Rd, Bldg 520450, Camp Pendleton, CA 92055 2006-09-22
1801995865 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Imhoff Road, Bldg 210735, Camp Pendleton, CA 92055 2006-09-22
1467551424 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Stuart Mesa Rd, Bldg 310514, Camp Pendleton, CA 92055 2006-09-22
1053410019 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Basilone Rd Bldg 620305, Camp Pendleton, CA 92055 2006-09-22
1386743334 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Bldg 434057 Del Valle St, 43 Area Las Pulgas, Camp Pendleton, CA 92055 2006-09-22
1992804959 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 22 Area Branch Medical Clinic, Bldg 22190, Camp Pendleton, CA 92055 2006-09-22
1932208980 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 41 Area Las Flores Nelson Street, Bldg 414006, Camp Pendleton, CA 92055 2006-09-22
Find all providers in CAMP PENDLETON

Competitor

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City CAMP PENDLETON
Zip Code 92055

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Dataset Information

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.

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