48TH MEDICAL SUPPORT SQUADRON/SGSL (NPI# 1548339716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339716 |
| Entity Type | Organization |
| Organization Name | 48TH MEDICAL SUPPORT SQUADRON/SGSL |
| Other Organization Name | LAKENHEATH PHCY 48TH MDG |
| Practice Address |
Raf Lakenheath Uk Apo AE 09464 |
| Practice Telephone | 2105366650 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| 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 |
|---|---|---|---|
| PK | 2113964 | 01 |
| Other Name | Type Code |
|---|---|
| LAKENHEATH PHCY 48TH MDG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922177161 | 48th Medical Support Squadron/sgsl | Military/U.S. Coast Guard Pharmacy | Bury Road, Huntingdon England, Apo, AE 09470 | 2006-11-06 |
| Street Address |
RAF LAKENHEATH UK |
| City | APO |
| State | AE |
| Zip Code | 09464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1427334069 | Megan T Corbett | Military Health Care Provider | Psc 41 Box 4063, Apo, AE 09464 | 2011-10-27 |
| 1831354547 | Lisa Renee Murchison | Nurse Practitioner | Raf Lakenheath Ob/gyn, 48msgs/sgcg, Unit 5210 Boffx 230, Apo, AE 09464 | 2008-07-22 |
| 1790751964 | Tanya Angelique Bartlett | Social Worker | Psc 41 Box 3592, Apo, AE 09464 | 2006-02-27 |
| 1316925845 | Barbara B. Acevedo | Physician Assistant | 48 Mdg/sgop, Unit 5210, Apo, AE 09464 | 2006-01-05 |
| 1326026055 | Brien D Weston | Audiologist | Ear, Nose & Throat/48medical Group/sgosla, Raf Lakenheath, Apo, AE 09464 | 2006-01-04 |
| 1467430322 | Bruce E Sternke | Anesthesiology | 48 Mdg/sghc, Unit 5115, Apo, AE 09464 | 2006-01-02 |
| 1285622936 | Darrell Smith | Dentist | Psc 41 Box 5589, Apo, AE 09464 | 2005-10-07 |
| 1821084146 | Ellen Louise Leeke | General Practice | Family Practice, 48th Mdg/mdos/sgopf, Raf Lakenheath, Apo, AE 09464 | 2005-09-22 |
| 1356335848 | Christian Lawrence Lyons | Physical Therapist | 48 Mdg/sgomy, Apo, AE 09464 | 2005-09-12 |
| Find all providers in zip 09464 | ||||
| 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 |
|---|---|---|---|---|
| 1265756316 | 86th Mdss Sgsap | Military/U.S. Coast Guard Pharmacy | Bldg 2114 86th Mdss Sgsap Unit 3215, Apo, AE 09094-3214 | 2010-03-18 |
| 1013163088 | Bagram Btif | Military/U.S. Coast Guard Pharmacy | 724th Mp Bn/tf Bulldog, Disney Drive Bldg 365, Apo, AE 09354 | 2008-08-11 |
| 1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
| 1376617506 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Attn Pad, Apo, AE 09042 | 2006-11-20 |
| 1972672004 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 406, Apo, AE 09110 | 2006-11-06 |
| 1417036633 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 418, Apo, AE 09058 | 2006-11-06 |
| 1316016496 | 31st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 121, Aviano Ab Italy, Apo, AE 09604-0245 | 2006-11-06 |
| 1376612499 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 263, Apo, AP 96260-0275 | 2006-11-06 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1659440725 | U.S. Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 405, Avenue C, Apo, AP 96264 | 2006-11-06 |
| Find all providers in APO | ||||
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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.