COLTS NECK PHCY (NPI# 1255438008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255438008 |
Entity Type | Organization |
Organization Name | COLTS NECK PHCY |
Practice Address |
201 State Route 34 S Bldg C3 Naval Weapons Station Earle Colts Neck NJ 07722-1902 |
Practice Telephone | 7328662647 |
Practice Fax Number | 7328661116 |
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 | 3141962 | 01 |
Street Address |
201 STATE ROUTE 34 S BLDG C3 NAVAL WEAPONS STATION EARLE |
City | COLTS NECK |
State | NJ |
Zip Code | 07722-1902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407379191 | Elena Marie Kochanek | Psychologist | 415 Highway 34, Suite 116, Colts Neck, NJ 07722 | 2017-07-25 |
1356890057 | Lauren Punzone | Nurse Practitioner | 12 Country Club Ln, Colts Neck, NJ 07722 | 2016-09-23 |
1922440627 | Vimax LLC | Clinic/Center | 6 Cornwall St., Colts Neck, NJ 07722 | 2013-07-23 |
1689923914 | Patricia Sobal | Behavioral Analyst | 12 Mulberry Lane, Colts Neck, NJ 07722 | 2012-08-31 |
1538414776 | Marsha E Bodus | Registered Nurse | 201 Route 34 South, Bldg C-3, Colts Neck, NJ 07722 | 2012-07-13 |
1104116649 | Andrew Gerard Fischer | Dentist | 340 Route 34 South, Suite 204, Colts Neck, NJ 07722 | 2011-04-18 |
1891961744 | Gloria Yrizarry Tillmann | Psychologist | 14 Red Hawk Rd No, Colts Neck, NJ 07722 | 2008-05-01 |
1225214604 | Reflections @ Colts Neck | Assisted Living Facility | 3 Meridian Circle, Colts Neck, NJ 07722 | 2008-01-15 |
1255462552 | Judith Ann Kramer | Psychologist | 29 State Highway #34, Colts Neck, NJ 07722 | 2007-03-08 |
1164567467 | Harlene Joy Ross | Social Worker | 29 Highway 34, Colts Neck Consulting Group, Colts Neck, NJ 07722 | 2007-02-21 |
Find all providers in zip 07722 |
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 |
---|---|---|---|---|
1710287198 | Lakehurst | Military/U.S. Coast Guard Pharmacy | 39 Lansdown Road Bldg 39, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2010-11-01 |
1104011667 | Atlantic City Uscg Phcy | Military/U.S. Coast Guard Pharmacy | Amelia Earhart Road, Bldg 350, Atlantic City, NJ 08405-0001 | 2007-09-07 |
1346349792 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 39, Naval Engineering Station, Lakehurst, NJ 08733 | 2006-09-22 |
1255430609 | 87th Medical Group | Military/U.S. Coast Guard Pharmacy | Naval Weapon Station Earl Hwy 35, Leonardo, NJ 07737 | 2006-09-22 |
1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
1164529913 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1 Munro Ave Bldg 270, Cape May, NJ 08204-5000 | 2006-09-20 |
1518150598 | Green Valley Medical Equipment | Military/U.S. Coast Guard Pharmacy | 214 E Main St, Bound Brook, NJ 08805-2026 | 2007-08-22 |
1194889865 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1075 Stephenson Ave, Monmouth Poe Phcy, Fort Monmouth, NJ 07703-1518 | 2006-12-20 |
1437258886 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1075 Stephenson Ave, Bldg 1075 Monmouth Op Phcy, Fort Monmouth, NJ 07703-1518 | 2006-09-22 |
1881650141 | 87 Medical Group | Military/U.S. Coast Guard Pharmacy | 3458 Neely Rd, Mdss Sgsbr, Mc Guire Afb, NJ 08641-5312 | 2006-04-25 |
Find all providers with the same taxonomy |
City | COLTS NECK |
Zip Code | 07722 |
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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.