NAVAL HEALTH CLINIC PATUXENT RIVER (NPI# 1902905318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902905318 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC PATUXENT RIVER |
| Practice Address |
Bldg 1370 Patuxent River MD 20670 |
| Mailing Address |
Naval Health Clinic Patuxent River Attn: Finance Offic 47149 Buse Rd Bldg 1370 Patuxent River MD 20670 |
| Practice Telephone | 4103421442 |
| Practice Fax Number | 4103421502 |
| Mailing Telephone | 4103421442 |
| Mailing Fax Number | 4103421502 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC PATUXENT RIVER |
| 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 | 2037185 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003915133 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Bldg 192, Dahlgren, VA 22428 | 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 |
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1922044460 | Naval Health Clinic Patuxent River | Clinic/Center | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2006-06-22 |
| Street Address |
BLDG 1370 |
| City | PATUXENT RIVER |
| State | MD |
| Zip Code | 20670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881831980 | Rebecca Lea Kong | Pharmacist | 22099 Cuddihy Rd Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-12 |
| 1770720922 | Lisa Kristine Brown | Pharmacist | 22099 Cuddihy Rd, Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-09 |
| 1336435163 | Leslie Ann Jago | Pharmacist | 22099 Cuddihy Rd, Building 2369, Patuxent River, MD 20670-1194 | 2011-06-20 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| 1376521955 | John Christie | Preventive Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2006-01-04 |
| 1528041415 | William Anthony Hill | Optometrist | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2005-11-23 |
| 1053307124 | Joseph Leonce Charlot Jr. | Preventive Medicine | 47149 Buse Road, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2005-09-23 |
| 1487263364 | Krystal Howell | Registered Nurse | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2020-07-28 |
| 1932721263 | Hayley Bacon | Social Worker | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2020-05-08 |
| 1487016119 | Chelsea Hayes Thompson | Family Medicine | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2016-03-22 |
| Find all providers in zip 20670 | ||||
| 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 |
|---|---|---|---|---|
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868870 | Walter Reed National Military Medical Center | Military/U.S. Coast Guard Pharmacy | 101 Buchanan Rd, Annapolis, MD 21402-5107 | 2020-10-09 |
| 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 |
| 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 |
| 1649682162 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 | 2014-06-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PATUXENT RIVER |
| Zip Code | 20670 |
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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.