ANDERSEN PHCY (NPI# 1588763536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588763536 |
| Entity Type | Organization |
| Organization Name | ANDERSEN PHCY |
| Practice Address |
Bldg 26000 Santa Rosa Andersen Afb GU 96543 |
| Practice Telephone | 6713665271 |
| Practice Fax Number | 6713661229 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-06-17 |
| 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 | 5411739 | 01 |
| Street Address |
BLDG 26000 SANTA ROSA |
| City | ANDERSEN AFB |
| State | GU |
| Zip Code | 96543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591272 | Andrew Haynes | Student in an Organized Health Care Education/Training Program | 36 Mdg/sgsl, Unit 14010 Bldg 26001, Apo, AP 96543 | 2014-06-02 |
| 1831449537 | Amber R Schumacher | Military Health Care Provider | 36th Medical Group/sgoaf, Unit 14010 Bldg 26001, Apo, AP 96543 | 2012-09-11 |
| 1457636045 | Rebecca Joyce Scott | Pharmacist | 36th Medical Group, Unit 14010 Bldg 26001, Apo, AP 96543 | 2011-10-15 |
| 1679540900 | 36 Medical Group | Clinic/Center | Unit 14010, Apo, AP 96543 4010 | 2006-03-06 |
| 1285907139 | Nicholas Jon Hardgrave | Optometrist | 36th Medical Group-andersen Afb Clinic/optometry, Unit 14010, Apo, AP 96543-4003 | 2012-02-22 |
| 1942552930 | David Abraham Shwalb | Student in an Organized Health Care Education/Training Program | 36mdos/sgow (mental Health Services), Andersen Afb, Guam Unit 14010, Apo, AP 96543-4010 | 2012-10-15 |
| 1306071345 | Beth Marie Sherman | Military Health Care Provider | 36 Mdos/sgoaf, Unit 14010, Apo, AP 96543-4010 | 2009-05-20 |
| 1336257823 | Esther V. Rollen | Social Worker | 36mdos/sgoh, Unit 26012, Apo, AP 96543-4010 | 2006-08-26 |
| 1356378178 | James Matthew Kutner | Dentist | 36 Mdos/work Station, Unit 14010, Anderse Air Force Base Guam, Apo, AP 96543-4010 | 2006-06-27 |
| 1417484858 | Ciera Domonique Paige Williams | Pharmacist | Unit 14010, Apo, AP 96543-4010 | 2017-05-16 |
| Find all providers in zip 96543 | ||||
| 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 |
|---|---|---|---|---|
| 1861804643 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | 36th Medical Support Squadron, 26001, Agana, GU 96910 | 2014-05-28 |
| 1487954863 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg # 6 Chapel Rd, Santa Rita, GU 96915 | 2010-11-01 |
| 1093039455 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 1 Fareholt Ave, Agana Heights, GU 96910 | 2010-03-15 |
| 1679672620 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 198, Dededo, GU 96540-1816 | 2006-09-22 |
| 1720187768 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Pharmacy Department, Agana, GU 96538-0490 | 2006-09-22 |
| 1194137711 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Us Naval Hospital Guam, Bldg. #50, Room 1u02, Agana Heights, GU 96919-0000 | 2014-06-02 |
| City | ANDERSEN AFB |
| Zip Code | 96543 |
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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.