WALTER REED NATIONAL MILITARY MED CENTER


Address: 8901 Wisconsin Ave, Bethesda, MD 20889-0004
Phone: 3012952123

WALTER REED NATIONAL MILITARY MED CENTER (NPI# 1245392661) 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) 1245392661
Entity Type Organization
Organization Name WALTER REED NATIONAL MILITARY MED CENTER
Other Organization Name BETHESDA REFILL PHCY-WHITEHOUSE
Practice Address 8901 Wisconsin Ave
Bethesda
MD 20889-0004
Mailing Address 8901 Wisconsin Ave
Psc 509 Code 6300
Bethesda
MD 20889-0004
Practice Telephone 3012952123
Practice Fax Number 3012954662
Mailing Telephone 3012952123
Mailing Fax Number 3012954662
Enumeration Date 2006-12-14
Last Update Date 2016-04-07
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

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 2037194 01

Other Provider/Organization Names

Other Name Type Code
BETHESDA REFILL PHCY-WHITEHOUSE Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 8901 WISCONSIN AVE
City BETHESDA
State MD
Zip Code 20889-0004

Providers in the same location

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
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Providers in the same zip code

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
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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
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
1194028407 Walter Reed National Military Med Center Military/U.S. Coast Guard Pharmacy 8901 Wisconsin Ave, Bethesda, MD 20889-0001 2010-12-08
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
1134281686 Bethesda Refill Phcy-annapolis Military/U.S. Coast Guard Pharmacy 8901 Wisconsin Ave, Bethesda, MD 20889 2006-12-14
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Competitor

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City BETHESDA
Zip Code 20889

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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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