ERMC UNIFORM BUSINESS OFFICE (NPI# 1861804643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861804643 |
| Entity Type | Organization |
| Organization Name | ERMC UNIFORM BUSINESS OFFICE |
| Other Organization Name | DOD ANDERSON EPHCY |
| Practice Address |
36th Medical Support Squadron 26001 Agana GU 96910 |
| Mailing Address |
Ermc Uniform Business Office Cmr 402 Bldg 3700 Ermc Ubo Agana GU 96910 |
| Practice Telephone | 6713665271 |
| Practice Fax Number | 6713661229 |
| Mailing Telephone | 6713665271 |
| Mailing Fax Number | 6713661229 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2016-01-26 |
| 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 | 2145944 | 01 |
| Other Name | Type Code |
|---|---|
| DoD ANDERSON ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144634056 | Ermc Uniform Business Office | Clinic/Center | Caserma Del Din, Bldg 002, Vicenza, VENETO 36100 | 2014-06-18 |
| 1023213808 | Ermc Uniform Business Office | Clinic/Center | Psc 79 Nhc, Apo, AE 09714 | 2007-06-20 |
| 1962607788 | Ermc Uniform Business Office | Clinic/Center | Unit 23152, Apo, AE 09227 | 2007-06-20 |
| 1942405766 | Ermc Uniform Business Office | Clinic/Center | Unit 23810, Box 62, Apo, AE 09043 | 2007-06-20 |
| 1629273453 | Ermc Uniform Business Office | Clinic/Center | Unit 31301, Box 16, Apo, AE 09613 | 2007-06-20 |
| 1730384553 | Ermc Uniform Business Office | Clinic/Center | Unit 31401, Box 28, Apo, AE 09630 | 2007-06-20 |
| 1720283500 | Ermc Uniform Business Office | Clinic/Center | Unit 21414, Box 3530, Apo, AE 09705 | 2007-06-20 |
| 1972708709 | Ermc Uniform Business Office | Clinic/Center | Cmr 402, Usadc Landstuhl Hospital, Apo, AE 09180 | 2007-06-20 |
| 1275738304 | Ermc Uniform Business Office | Clinic/Center | Unit 29940, Apo, AE 09086 | 2007-06-19 |
| 1982809026 | Ermc Uniform Business Office | Clinic/Center | Cmr 418, Box 915, Apo, AE 09058 | 2007-06-19 |
| Street Address |
36TH MEDICAL SUPPORT SQUADRON 26001 |
| City | AGANA |
| State | GU |
| Zip Code | 96910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| 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 |
|---|---|---|---|---|
| 1720187768 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Pharmacy Department, Agana, GU 96538-0490 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1588763536 | Andersen Phcy | Military/U.S. Coast Guard Pharmacy | Bldg 26000 Santa Rosa, Andersen Afb, GU 96543 | 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 |
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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.