COLTS NECK PHCY


Address: 201 State Route 34 S Bldg C3, Naval Weapons Station Earle, Colts Neck, NJ 07722-1902
Phone: 7328662647

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).

Provider Overview

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

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
OTHER ID NUMBER-COMMERCIAL NUMBER 3141962 01

Office Location

Street Address 201 STATE ROUTE 34 S BLDG C3
NAVAL WEAPONS STATION EARLE
City COLTS NECK
State NJ
Zip Code 07722-1902

Providers in the same zip code

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
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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 state

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

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City COLTS NECK
Zip Code 07722

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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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