NAVAL MEDICAL CENTER CAMP LEJEUNE (NPI# 1821400516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821400516 |
| Entity Type | Organization |
| Organization Name | NAVAL MEDICAL CENTER CAMP LEJEUNE |
| Practice Address |
Brewster Blvd Bldg Nh100 Usn-naval Hospital Camp Lejeune NC 28547-0100 |
| Mailing Address |
Po Box 10100 Code 0820 Naval Hospital Camp Lejeune Camp Lejeune NC 28347 |
| Practice Telephone | 9104504171 |
| Practice Fax Number | 9104504952 |
| Mailing Telephone | 9104504172 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL MEDICAL CENTER CAMP LEJEUNE |
| 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 | 2145968 | 01 |
| 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 |
| 1710252499 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | A Street, Bldg # Rr 440, Camp Lejeune, NC 28542-0117 | 2012-03-14 |
| 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 |
| Street Address |
BREWSTER BLVD BLDG NH100 USN-NAVAL HOSPITAL |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| 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 |
|---|---|---|---|---|
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1710252499 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | A Street, Bldg # Rr 440, Camp Lejeune, NC 28542-0117 | 2012-03-14 |
| 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 | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
Please comment or provide details below to improve the information on NAVAL MEDICAL CENTER CAMP LEJEUNE.
| 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.