NAVAL HEALTH CLINIC CHERRY POINT (NPI# 1215036546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215036546 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC CHERRY POINT |
| Practice Address |
Bldg 4389 Beaufort St Cherry Point NC 28533-0023 |
| Mailing Address |
4389 Beaufort Rd Cherry Point NC 28533-0023 |
| Practice Telephone | 2524660252 |
| Practice Fax Number | 2524660286 |
| Mailing Telephone | 2102218474 |
| Mailing Fax Number | 2102952567 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-10-11 |
| NPI Deactivation Date | 07/17/2007 |
| NPI Reactivation Date | 2008-05-09 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC CHERRY POINT |
| 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 | 2070473 | 01 | |
| NC | 3400135 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104238724 | Naval Health Clinic Cherry Point | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Cherry Point, Building 4389, Beaufort Rd, Mcas Cherry Point, NC 28533-0023 | 2014-06-02 |
| 1366401648 | Naval Health Clinic Cherry Point | Clinic/Center | Beaufort Rd Bldg 4389, Naval Health Clinic Cherry Point, Cherry Point, NC 28533-0023 | 2006-03-23 |
| Street Address |
BLDG 4389 BEAUFORT ST |
| City | CHERRY POINT |
| State | NC |
| Zip Code | 28533-0023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811391006 | Patrick Edward Goldsmith | Military Health Care Provider | 100 Roosevelt Blvd, Mcas Cherry Point, Havelock, NC 28533 | 2014-10-16 |
| 1689934341 | Wendy D Maddox | Social Worker | Building 87 Roosevelt Blvd, Psc Box 8009, Havelock, NC 28533 | 2012-05-29 |
| 1336389253 | Andrew Thomas Hastings | Military Health Care Provider | Beaufort Road, Building 4389, Cherry Point, NC 28533 | 2009-03-05 |
| 1720237845 | Gareth James Evans | Physician Assistant | 4389 Beaufort Rd., Cherry Point, NC 28533 | 2008-09-12 |
| 1679737993 | Joseph Osmond | Optometrist | Beaufort Road Building 4389, Cherry Point, NC 28533 | 2008-07-16 |
| 1568631018 | Christopher James Bray | Military Health Care Provider | Psc Box 8023 Bldg 8029 Beaufort Rd, Naval Health Clinic Cherry Point, Cherry Point, NC 28533 | 2008-02-28 |
| 1134397920 | Peter Robert Rona | Military Health Care Provider | Bldg 4389 Beaufort Rd, Naval Health Clinic, Cherry Point, NC 28533 | 2008-02-14 |
| 1114112869 | Steven Michael Donohoe | Military Health Care Provider | Halyburton Naval Health Clinic, Psc Box 8023, Cherry Point, NC 28533 | 2007-09-06 |
| 1114124583 | Karen Lynn Harrell-tosto | Pharmacist | Psc 8023 Bldg 4389, Naval Hospital Cherry Point, Cherry Point, NC 28533 | 2007-06-29 |
| 1962617803 | Janet Andrews Bohmuller | Registered Nurse | Cherry Point Naval Hospital, Bldg. 4389, Cherry Point, NC 28533 | 2007-05-14 |
| Find all providers in zip 28533 | ||||
| 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 |
|---|---|---|---|---|
| 1356907471 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 4-2817 Reilly Rd Bldg B, Fort Bragg, NC 28310-0001 | 2019-05-14 |
| 1932577368 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 55 Centennial Pkwy, Cameron, NC 28326-4013 | 2015-09-02 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1104238724 | Naval Health Clinic Cherry Point | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Cherry Point, Building 4389, Beaufort Rd, Mcas Cherry Point, NC 28533-0023 | 2014-06-02 |
| 1821400516 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Brewster Blvd Bldg Nh100, Usn-naval Hospital, Camp Lejeune, NC 28547-0100 | 2014-05-29 |
| 1710252499 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | A Street, Bldg # Rr 440, Camp Lejeune, NC 28542-0117 | 2012-03-14 |
| 1447359732 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | Lane Rd Bldg M4861, Fort Bragg, NC 28310-0001 | 2006-09-22 |
| 1538268826 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | Butner Rd Bldg 85050, Fort Bragg, NC 28310-0001 | 2006-09-22 |
| 1093814386 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | Gruber Rd Bldg C1722, Fort Bragg, NC 28310-0001 | 2006-09-22 |
| 1568561884 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | Weeksville Hwy Bldg 112, Elizabeth City, NC 27909 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY POINT |
| Zip Code | 28533 |
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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.