NAVAL HOSPITAL PENSACOLA (NPI# 1295926160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295926160 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL PENSACOLA |
| Practice Address |
5722 Integrity Dr Bldg S-771 Millington TN 38054-5028 |
| Practice Telephone | 9018746127 |
| Practice Fax Number | 9018746128 |
| Mailing Telephone | 9018746127 |
| Mailing Fax Number | 9018746128 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL PENSACOLA |
| 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 | 2092946 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425113 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 2500 Veterans Way, Bldg 645, Panama City, FL 32408 | 2018-01-25 |
| 1972917060 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 367 Fuller Rd Ste A-15, Meridian, MS 39309-5408 | 2014-06-17 |
| 1457764078 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 W Highway 98, Pensacola, FL 32507-1072 | 2014-06-11 |
| 1437562626 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 7119 Langley St Bldg 2985, Milton, FL 32570-6105 | 2014-06-05 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1184723371 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | Tarawa Ave, Bldg S752, Millington, TN 38054-5201 | 2006-09-22 |
| 1003913856 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 450 Turner St Ste B, Pensacola, FL 32508-5276 | 2006-09-20 |
| 1194822940 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 765 6th St Bldg 535, Pensacola, FL 32511-5140 | 2006-09-20 |
| 1710084561 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 4400 Dauphine St Bldg 601, New Orleans, LA 70146-5609 | 2006-09-20 |
| 1477960698 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5722 Integrity Dr Bldg S771, Millington, TN 38054-5028 | 2014-07-21 |
| Street Address |
5722 INTEGRITY DR BLDG S-771 |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38054-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124004601 | David Lynn Bell Jr. | Dentist | 5722 Integrity Dr, Nbhc Nsa Mid-south, Millington, TN 38054-5028 | 2005-12-16 |
| 1609234509 | Meoshe Beckworth | Physician Assistant | 5722 Integrity Dr, Building S-771, Millington, TN 38054-5028 | 2016-02-05 |
| 1144690603 | Thomas Korte | Dentist | 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 | 2015-09-28 |
| 1508152836 | Whitney Pugh Millican | Nurse Practitioner | 5722 Integrity Dr, Millington, TN 38054-5028 | 2011-06-24 |
| 1730339276 | Ann Morgan Macdonald | Optometrist | 5722 Integrity Dr, Nbhc Nsa Mid-south, Millington, TN 38054-5028 | 2008-09-21 |
| 1134380033 | Terence C Hilger | Dentist | 5722 Integrity Dr, B S-771 Nav Sup Act Mid South, Millington, TN 38054-5028 | 2008-06-23 |
| 1730367020 | Alexander Joseph Mabile IIi | Military Health Care Provider | 5722 Integrity Dr, Navmac, Millington, TN 38054-5028 | 2008-02-08 |
| 1669674818 | Mark David Narduzzi | Military Health Care Provider | 5722 Integrity Dr, Bldg S-771, Millington, TN 38054-5028 | 2007-06-01 |
| 1700960192 | Jonathan David Karaman | Dentist | 5722 Integrity Dr, Millington, TN 38054-5028 | 2006-10-24 |
| 1316049281 | Benjamin A B Heverly | Military Health Care Provider | 5722 Integrity Dr, Millington, TN 38054-5028 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1992243000 | Paul Livernois | Pharmacist | S-752 Tarawa Ave, Millington, TN 38054 | 2017-02-09 |
| 1962751149 | Megan Nicole Seay Shelton | Dentist | 5722 Integrity Drive Building S-771, Millington, TN 38054 | 2012-09-05 |
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1053526996 | Ira N.b. Davis | Optometrist | Nex - Midsouth, Bldg S752, Millington, TN 38054 | 2007-05-14 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1366486086 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Nex - Navy Support Activity - Memphis, Bldg. S752, Millington, TN 38054 | 2006-06-15 |
| 1710948245 | James R Luedtke | Technician, Other | 5722 Integrity Drive, Bldg S771, Nbhc, Nsa Mid-south, Millington, TN 38054 | 2006-04-02 |
| 1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| Find all providers in zip 38054 | ||||
| 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 |
|---|---|---|---|---|
| 1184723371 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | Tarawa Ave, Bldg S752, Millington, TN 38054-5201 | 2006-09-22 |
| 1477960698 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5722 Integrity Dr Bldg S771, Millington, TN 38054-5028 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891095154 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Cbpcc- Gateway Pharmacy, Medical Office Buldg One 647 Dunlop Lane, Suite 301, Clarrksville, TN 37040-0000 | 2010-11-02 |
| 1275632465 | 96th Medical Support Squadron Sgsl | Military/U.S. Coast Guard Pharmacy | 225 First St Bldg 225, Arnold Afb, TN 37389 | 2006-09-22 |
| City | MILLINGTON |
| Zip Code | 38054 |
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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.