WILLOW GROVE PHCY (NPI# 1295834455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295834455 |
Entity Type | Organization |
Organization Name | WILLOW GROVE PHCY |
Practice Address |
Bmc Bldg 137 Willow Grove PA 19090 |
Practice Telephone | 2154436371 |
Practice Fax Number | 2154439692 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2009-05-13 |
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 | 3979082 | 01 |
Street Address |
BMC BLDG 137 |
City | WILLOW GROVE |
State | PA |
Zip Code | 19090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
Find all providers in zip 19090 |
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 |
---|---|---|---|---|
1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
1992108633 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2014-10-08 |
1316132871 | Delaware Bay Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 1 Washington Ave, Philadelphia, PA 19147-4335 | 2007-09-07 |
1114081866 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
1336203082 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Ata Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
1063574481 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Special Order Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-14 |
1730254152 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2006-11-21 |
1063519817 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-09-20 |
City | WILLOW GROVE |
Zip Code | 19090 |
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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.