NAVAL MEDICAL CENTER CAMP LEJEUNE


Address: A Street, Bldg # Rr 440, Camp Lejeune, NC 28542-0117
Phone: 9104400011

NAVAL MEDICAL CENTER CAMP LEJEUNE (NPI# 1710252499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710252499
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER CAMP LEJEUNE
Practice Address A Street
Bldg # Rr 440
Camp Lejeune
NC 28542-0117
Mailing Address Psc Box 20117
Camp Lejeune
NC 28542-0117
Practice Telephone 9104400011
Practice Fax Number 9104401095
Mailing Telephone 9104400011
Mailing Fax Number 2102952567
Enumeration Date 2012-03-14
Last Update Date 2017-12-20
Authorized Official Name MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL MEDICAL CENTER CAMP LEJEUNE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2134220 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427435585 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 2015-04-28
1821400516 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy Brewster Blvd Bldg Nh100, Usn-naval Hospital, Camp Lejeune, NC 28547-0100 2014-05-29
1700985025 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Deptnaval Hosp Bld 416, Camp Lejeune, NC 28547-2538 2006-09-22
1619076932 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Deptnaval Hosp G770, Camp Lejeune, NC 28547-2575 2006-09-22
1528167848 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Dept Naval Hosp Fc520, Camp Lejeune, NC 28547-2538 2006-09-22
1982703294 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Pharmacy Dept Naval Hosp Bldg 416, Camp Lejeune, NC 28547-2538 2006-09-22
1891894119 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Dept Naval Hosp As100, Camp Lejeune, NC 28547-2538 2006-09-22
1659470979 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Pharmacy Deptnaval Hosp Bld 123, Camp Lejeune, NC 28547-2538 2006-09-22
1750480059 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Pharmacy Deptnaval Hosp, Camp Lejeune, NC 28547-2575 2006-09-22
1437258753 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Dept Naval Hosp Bb118, Camp Lejeune, NC 28547-2575 2006-09-22

Office Location

Street Address A STREET
BLDG # RR 440
City CAMP LEJEUNE
State NC
Zip Code 28542-0117

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730794439 Lauren Marie Barton Dentist H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 2020-09-10
1003444928 Andres Martin Rodoni Military Health Care Provider 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 2020-03-27
1699306670 Dominick Ciampo Military Health Care Provider A66 Boat Basin Road, Camp Lejeune, NC 28542 2020-01-29
1881243525 Alexander Thomas Rodgers Military Health Care Provider 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 2019-09-05
1992352454 Kirsten Janel Snow Physician Assistant Hm Smith Boulevard, Bldg Fc-308, Camp Lejeune, NC 28542 2019-08-20
1639735947 Cody Robert Patton Military Health Care Provider 3rd Marine Raider Battalion, Bldg 614, Camp Lejeune, Nc, NC 28542 2019-05-13
1558832345 Nathaniel Franklin Campbell Military Health Care Provider Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 2018-12-06
1578032504 Brendon Earl Dumas Military Health Care Provider Rr612 Everett Creek Road, Camp Lejeune, NC 28542 2018-11-20
1053896514 Roy Atallah Military Health Care Provider 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 2018-10-01
1316422975 Zachary Thomas Monahan General Practice Hm Smith Boulevard Bldg Fc-308, Camp Lejeune, NC 28542 2018-09-30
Find all providers in zip 28542

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427435585 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 2015-04-28
1821400516 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy Brewster Blvd Bldg Nh100, Usn-naval Hospital, Camp Lejeune, NC 28547-0100 2014-05-29
1700985025 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Deptnaval Hosp Bld 416, Camp Lejeune, NC 28547-2538 2006-09-22
1619076932 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Deptnaval Hosp G770, Camp Lejeune, NC 28547-2575 2006-09-22
1528167848 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Dept Naval Hosp Fc520, Camp Lejeune, NC 28547-2538 2006-09-22
1982703294 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Pharmacy Dept Naval Hosp Bldg 416, Camp Lejeune, NC 28547-2538 2006-09-22
1891894119 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Dept Naval Hosp As100, Camp Lejeune, NC 28547-2538 2006-09-22
1659470979 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Pharmacy Deptnaval Hosp Bld 123, Camp Lejeune, NC 28547-2538 2006-09-22
1750480059 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Pharmacy Deptnaval Hosp, Camp Lejeune, NC 28547-2575 2006-09-22
1437258753 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy 100 Brewster Blvd, Phcy Dept Naval Hosp Bb118, Camp Lejeune, NC 28547-2575 2006-09-22
Find all providers in CAMP LEJEUNE

Competitor

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City CAMP LEJEUNE
Zip Code 28542

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Dataset Information

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.

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