WALTER REED NATIONAL MILITARY MEDICAL CENTER (NPI# 1548868870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548868870 |
| Entity Type | Organization |
| Organization Name | WALTER REED NATIONAL MILITARY MEDICAL CENTER |
| Practice Address |
101 Buchanan Rd Annapolis MD 21402-5107 |
| Practice Telephone | 4102934229 |
| Practice Fax Number | 4102932820 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA POSC) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALTER REED NATIONAL MILITARY MED CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| ANNAPOLIS BANCROFT SCPU PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407194889 | Walter Reed National Military Medical Center | Military Hospital | 2000 N St Nw, Apt 503, Washington, DC 20036-2336 | 2013-01-20 |
| 1902182538 | Walter Reed National Military Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bldg 9 2nd Floor, Bethesda, MD 20889-0001 | 2011-10-27 |
| 1407165053 | Walter Reed National Military Medical Center | Military Hospital | 8901 Wisconsin Ave, Psc Box 509 Code 6300, Bethesda, MD 20889-5600 | 2010-09-30 |
| 1720292501 | Walter Reed National Military Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Psc Box 509 Code 6300, Bethesda, MD 20889-5600 | 2007-05-10 |
| 1326163544 | Walter Reed National Military Medical Center | Military Hospital | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2007-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALTER REED NATIONAL MILITARY MEDICAL CENTER | 8901 Rockville Pike, Bethesda, MD 20889-0001 |
| Street Address |
101 BUCHANAN RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21402-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404656 | Karen Ruth Taylor | Social Worker | Usna - Midshipmen Development Center, Bancroft Hall 8m38a, Annapolis, MD 21402 | 2016-05-06 |
| 1710974902 | Ruben Del Pilar | Family Medicine | Naval Health Clinic Annapolis, 250 Wood Road, Annapolis, MD 21402 | 2005-10-03 |
| 1891789137 | Raymond Donald Chronister | Specialist/Technologist | Physical Education, Field House, U. S. Naval Academy, Annapolis, MD 21402 | 2005-09-01 |
| 1649682162 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 | 2014-06-02 |
| 1619303484 | Melanie Cooper Carmody | Pharmacist | 250 Wood Road, Nhc Annapolis, Annapolis, MD 21402 | 2013-09-24 |
| 1770599060 | Collette Stevenson | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-31 |
| 1447272505 | Michelle M. Decker | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1851313936 | Eunice Smith | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1316229701 | Shields Vision | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2011-09-13 |
| 1124259718 | Anchor Eyecare Annapolis | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2009-07-31 |
| Find all providers in zip 21402 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063763241 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave Dept Ofphcy, Bldg 9, Room 2303, Bethesda, MD 20889-0001 | 2012-09-27 |
| 1902905318 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1679672083 | Dunham Army Health Clinic | Military/U.S. Coast Guard Pharmacy | 1452 Porter St, Ft Detrick, MD 21702 | 2006-09-22 |
| 1851490270 | Malcom Grow Medical Center 79 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 1050 W Perimeter Rd # D1119, Jb Andrews, MD 20762-6601 | 2006-09-22 |
| 1174620926 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1600 Wilson Drive, Indian Head, MD 20640 | 2006-09-20 |
| 1265539019 | Malcom Grow Medical Center 79 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 1 San Diego Loop Bldg 3188, Jb Andrews, MD 20762-5518 | 2006-09-20 |
| 1205242310 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 1434 Porter St, Frederick, MD 21702-9254 | 2014-07-09 |
| 1518379395 | Malcolm Grow Medical Clinic 779 Mdg | Military/U.S. Coast Guard Pharmacy | 1060 W Perimeter Rd, Joint Base Andrews, MD 20762-6602 | 2014-05-28 |
| 1417369299 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | Kirk U.S. Army Health Clinic, Bldg. 2501 Oakington Street, Aberdeen Proving Ground, MD 21005-5163 | 2014-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WALTER REED NATIONAL MILITARY MEDICAL CENTER.
| 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.