KWAJALEIN PHCY (NPI# 1215034079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215034079 |
| Entity Type | Organization |
| Organization Name | KWAJALEIN PHCY |
| Practice Address |
1702 6th Street Bldg 603 Apo AP 96555 |
| Practice Telephone | 8053552220 |
| Practice Fax Number | 8053551885 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR) |
| Authorized Official Telephone | 2102218443 |
| 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 |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 8210433 | 01 |
| Street Address |
1702 6TH STREET BLDG 603 |
| City | APO |
| State | AP |
| Zip Code | 96555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801064399 | Jan Christian Budo | Dental Hygienist | Box 1700, Apo, AP 96555 | 2008-02-19 |
| 1326172685 | John Edward Janikowski | Family Medicine | Bldg 603 Ocean Road, A.p.o. A.p. 96555, A.p.o., CA 96555 | 2007-03-16 |
| 1003941675 | Kwajalein Range Services | General Acute Care Hospital | Ocean Road, Box 1702, Apo, AP 96555 | 2007-02-22 |
| 1245365857 | Cathy Stores | Physical Therapist | Kwajalein Hospital,ocean Road, Apo, AP 96555 | 2007-02-22 |
| 1740359850 | Kwajalein Range Services | Military Hospital | Building 603 Ocean Drive, Us Army Kwajalein Atoll Box 1702, Apo, AP 96555 | 2006-11-06 |
| 1558349928 | Melinda Janine Armstrong | Physician Assistant | Kwajalein Hospital, Apo, AP 96555 | 2006-01-05 |
| 1831222918 | Bess I Buchanan | Physician Assistant | Kwajalein Hospital, Ocean Road, A.p.o. A.p., CA 96555 | 2007-03-14 |
| 1619135324 | Steven Lee Clause | Pharmacist | 1087 Building 601 Ocean Road, Us Army Kwajalein Atoll, Apo, AP 96555-1087 | 2008-05-29 |
| 1477058840 | International Sos Government Medical Services, Inc. | Military Hospital | Kwajalein Hospital, Unit 45081, Apo, AP 96555-5801 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| 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 |
|---|---|---|---|---|
| 1265756316 | 86th Mdss Sgsap | Military/U.S. Coast Guard Pharmacy | Bldg 2114 86th Mdss Sgsap Unit 3215, Apo, AE 09094-3214 | 2010-03-18 |
| 1013163088 | Bagram Btif | Military/U.S. Coast Guard Pharmacy | 724th Mp Bn/tf Bulldog, Disney Drive Bldg 365, Apo, AE 09354 | 2008-08-11 |
| 1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
| 1376617506 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Attn Pad, Apo, AE 09042 | 2006-11-20 |
| 1972672004 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 406, Apo, AE 09110 | 2006-11-06 |
| 1417036633 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 418, Apo, AE 09058 | 2006-11-06 |
| 1316016496 | 31st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 121, Aviano Ab Italy, Apo, AE 09604-0245 | 2006-11-06 |
| 1376612499 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 263, Apo, AP 96260-0275 | 2006-11-06 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1659440725 | U.S. Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 405, Avenue C, Apo, AP 96264 | 2006-11-06 |
| Find all providers in APO | ||||
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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.