NAVAL HEALTH CLINIC ANNAPOLIS (NPI# 1346349792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346349792 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC ANNAPOLIS |
| Practice Address |
Bmc Bldg 39 Naval Engineering Station Lakehurst NJ 08733 |
| Mailing Address |
87th Medical Group Resource Mngt Office 3548 Neely Rd Mcguire Afb NJ 08641 |
| Practice Telephone | 7323232658 |
| Practice Fax Number | 7323232247 |
| Mailing Telephone | 7323232658 |
| Mailing Fax Number | 7323232247 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC ANNAPOLIS |
| 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 | 2054349 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172183 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 | 2019-09-11 |
| 1184273195 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640-5162 | 2019-09-11 |
| 1801339866 | Naval Health Clinic Annapolis | Pharmacy | 101 Blake Rd, Annapolis, MD 21402-1300 | 2016-11-23 |
| 1649682162 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 | 2014-06-02 |
| 1942309364 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-09-22 |
| 1528013414 | Naval Health Clinic Annapolis | Clinic/Center | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-05-23 |
| Street Address |
BMC BLDG 39 NAVAL ENGINEERING STATION |
| City | LAKEHURST |
| State | NJ |
| Zip Code | 08733 |
| 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 |
| 1033377411 | Joseph Stanley Sprafka Jr. | Military Health Care Provider | Bldg 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 | 2008-06-02 |
| 1962690982 | Gary Stephen Mihalko Jr. | Military Health Care Provider | 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 | 2007-10-04 |
| 1144426867 | Richard James Donahue IIi | Specialist/Technologist, Other | Bldg. 39 Lansdowne Road Branch Health Clinic, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2007-06-21 |
| 1245341320 | Brian S Klohn Dmd Pa | Dentist | 19 Union Ave, Lakehurst, NJ 08733 | 2006-08-31 |
| 1881621373 | Frederick Lehman | Internal Medicine | 307 Route 70, Suite 1a, Lakehurst, NJ 08733 | 2006-06-28 |
| 1780654574 | Russell Douglas Francek | Physician Assistant | 39 Lansdownerd, Lakehurst, NJ 08733 | 2006-01-24 |
| 1013902915 | Robert Charles Raffetto | Dentist | Dental Dept, Bldg 39, Naval Health Care Facility, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2005-09-16 |
| 1275168296 | Julia K Guerrero | Physical Therapist | 685 Route 70, Units 4b & 6b, Lakehurst, NJ 08733 | 2020-03-10 |
| 1144352311 | Garden State Supply | Durable Medical Equipment & Medical Supplies | 24 Union Avenue, Lakehurst, NJ 08733-0084 | 2007-03-12 |
| Find all providers in zip 08733 | ||||
| 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 |
|---|---|---|---|---|
| 1710287198 | Lakehurst | Military/U.S. Coast Guard Pharmacy | 39 Lansdown Road Bldg 39, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104011667 | Atlantic City Uscg Phcy | Military/U.S. Coast Guard Pharmacy | Amelia Earhart Road, Bldg 350, Atlantic City, NJ 08405-0001 | 2007-09-07 |
| 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 |
| 1255438008 | Colts Neck Phcy | Military/U.S. Coast Guard Pharmacy | 201 State Route 34 S Bldg C3, Naval Weapons Station Earle, Colts Neck, NJ 07722-1902 | 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 |
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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.