121ST CSH/BAACH (NPI# 1306915426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306915426 |
| Entity Type | Organization |
| Organization Name | 121ST CSH/BAACH |
| Other Organization Name | CAMP HIALEAH PHCY |
| Practice Address |
Bldg 795 Camp Hialeah KOREA AP KR |
| Mailing Address |
2450 Stanley Rd Ste 208 Fort Sam Houston TX 78234-6108 |
| Practice Telephone | 2102218274 |
| Mailing Telephone | 2102218274 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | HECTOR MORALES (MANAGER PHARMACY OPERATIONS CENTER) |
| Authorized Official Telephone | 2102218274 |
| Is Organization Subpart | Y |
| Parent Organization Name | 121ST CSH/BAACH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 8210104 | 01 |
| Other Name | Type Code |
|---|---|
| CAMP HIALEAH PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568660348 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 1665, Apo, AP 96205 | 2007-07-03 |
| 1811195696 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 3576, Apo, AP 96205 | 2007-07-03 |
| 1457559239 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 7005, Apo, AP 96205 | 2007-07-03 |
| 1730387515 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg S4034, Apo, AP 96205 | 2007-07-03 |
| 1306042494 | 121st Csh/baach | Clinic/Center | Unit 15658, Bldg 808, Apo, AP 96224 | 2007-06-25 |
| 1730385824 | 121st Csh/baach | Clinic/Center | Unit 15659, Bldg 220, Apo, AP 96218 | 2007-06-25 |
| 1215133301 | 121st Csh/baach | Clinic/Center | Unit 15660, Bldg 555, Apo, AP 96271 | 2007-06-25 |
| 1053517144 | 121st Csh/baach | Clinic/Center | Unit 15663, Bldg 600, Apo, AP 96297 | 2007-06-25 |
| 1700082880 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 5107, Apo, AP 96205 | 2007-06-25 |
| 1295931384 | 121st Csh/baach | Clinic/Center | Unit 15653, Bldg S306, Apo, AP 96258 | 2007-06-25 |
| Street Address |
BLDG 795 |
| City | CAMP HIALEAH |
| State | KOREA |
| Zip Code | AP |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669701850 | Keun Young Park | Pharmacist | 75th Medical Company(as), Box #7, Unit 15190, Pyongtaek, APO AP | 2009-12-17 |
| 1144460437 | Nancy C Smith | Social Worker | Sams Us Army Health Clinic, Unit 45011 Attn: Mcja-bhs, Camp Zama, APO AP | 2009-02-25 |
| 1306020961 | Jannifer Lynn Wick | Physician Assistant | Psc 482 Box 2645, Fpo, OKINAWA AP | 2007-12-19 |
| 1558541375 | Valentino Villazor Gaudia | Military Health Care Provider | Mwss 172 Medical, Unit 37206, Fpo, JP AP | 2007-11-08 |
| 1023202512 | Rosalea Nellie Sanderson | Military Health Care Provider | Psc 455, Box 156, Fpo, GUAM AP | 2007-08-28 |
| 1144436874 | David W Plance | Military Health Care Provider | Uss Lake Champlain (cg 57), Fpo, UNITED STATES AP | 2007-05-16 |
| 1235341645 | Scott A Spence | Military Health Care Provider | Uss Benfold (ddg 65), Medical Department, Fpo, US NAVY AP | 2007-05-06 |
| 1073647483 | David Joseph Viola | Military Health Care Provider | Naval Hospital Okinawa Japan, Psc 482 Box 1600, Fpo, AP AP | 2007-03-15 |
| 1861541229 | Michael Joseph Gallagher | Social Worker | Alcohol Treatment Center, 121 Combat Support Hospital, Seoul, SOUTH KOREA AP | 2007-01-08 |
| 1467515726 | Stanley Kaneshiro | Military Health Care Provider | Psc 559 Box 6425, Okinawa, FPO AP | 2006-12-18 |
| Find all providers in zip AP | ||||
| 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 |
|---|---|---|---|---|
| 1184793309 | 121st Csh/baach | Military/U.S. Coast Guard Pharmacy | Bldg 349, Camp Walker, KOREA AP | 2006-11-06 |
| 1073682290 | 121st Csh/baach | Military/U.S. Coast Guard Pharmacy | Bldg 2251, Camp Stanley, KOREA AP | 2006-11-06 |
| 1760561245 | 121st Csh/baach | Military/U.S. Coast Guard Pharmacy | Bldg 7005, Seoul, KOREA AP | 2006-11-03 |
| 1003985219 | 121st Csh/baach | Military/U.S. Coast Guard Pharmacy | Bldg 600, Camp Long, KOREA AP | 2006-11-06 |
| City | CAMP HIALEAH |
| Zip Code | AP |
Please comment or provide details below to improve the information on 121ST CSH/BAACH.
| 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.