PT ANGELES USCG PHCY (NPI# 1336248475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336248475 |
| Entity Type | Organization |
| Organization Name | PT ANGELES USCG PHCY |
| Practice Address |
Ediz Hook Rd Port Angeles WA 98362 |
| Practice Telephone | 3604175887 |
| Practice Fax Number | 3604175899 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-04-16 |
| 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 | 4929999 | 01 |
| Street Address |
EDIZ HOOK RD |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| 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 |
|---|---|---|---|---|
| 1528488848 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Madigan Army Medical Ctr 9040, Jackson Ave, Tacoma, WA 98431-1100 | 2014-04-25 |
| 1518387836 | Naval Health Clinic Oak Harbor | Military/U.S. Coast Guard Pharmacy | Naval Hospital Oak Hbr 3475 N Saratoga St, Oak Harbor, WA 98278-8800 | 2014-04-25 |
| 1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
| 1801195110 | 92 Medical Group/sgsl | Military/U.S. Coast Guard Pharmacy | 6955 22nd Ave Ne, # 3401, Moses Lake, WA 98837-3288 | 2011-03-25 |
| 1316243744 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | 10507 156th St E, Suite 112, Puyallup, WA 98374-9361 | 2011-02-02 |
| 1992804033 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Bldg 2202, Ft Lewis, WA 98433 | 2006-09-22 |
| 1275632317 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | Bldg 2460, Fairchild Afb, WA 99011 | 2006-09-22 |
| 1609975747 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Bldg 9040a, Tacoma, WA 98431-0001 | 2006-09-22 |
| 1619076650 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Jackson Ave Bldg 9040a, Tacoma, WA 98431-0001 | 2006-09-22 |
| 1477652519 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 701 Hospital Loop # 135, Fairchild Afb, WA 99011-8704 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
Please comment or provide details below to improve the information on PT ANGELES USCG PHCY.
| 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.