NAVAL HOSPITAL PENSACOLA (NPI# 1972917060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972917060 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL PENSACOLA |
| Practice Address |
367 Fuller Rd Ste A-15 Meridian MS 39309-5408 |
| Mailing Address |
Naval Hospital Pensacola 6000 W Hwy 98 Code 11 Pensacola FL 32512-0001 |
| Practice Telephone | 6016792243 |
| Practice Fax Number | 6016792247 |
| Mailing Telephone | 6016792243 |
| Mailing Fax Number | 6016792247 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL PENSACOLA |
| 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 | 2146067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425113 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 2500 Veterans Way, Bldg 645, Panama City, FL 32408 | 2018-01-25 |
| 1457764078 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 W Highway 98, Pensacola, FL 32507-1072 | 2014-06-11 |
| 1437562626 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 7119 Langley St Bldg 2985, Milton, FL 32570-6105 | 2014-06-05 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1184723371 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | Tarawa Ave, Bldg S752, Millington, TN 38054-5201 | 2006-09-22 |
| 1003913856 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 450 Turner St Ste B, Pensacola, FL 32508-5276 | 2006-09-20 |
| 1194822940 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 765 6th St Bldg 535, Pensacola, FL 32511-5140 | 2006-09-20 |
| 1710084561 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 4400 Dauphine St Bldg 601, New Orleans, LA 70146-5609 | 2006-09-20 |
| 1477960698 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5722 Integrity Dr Bldg S771, Millington, TN 38054-5028 | 2014-07-21 |
| 1093128282 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 400 Russell Ave Bldg 41, New Orleans, LA 70143-5077 | 2014-06-05 |
| Street Address |
367 FULLER RD STE A-15 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39309-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038296 | Johnny Lee Cosby | Optometrist | 1801 Fuller Rd Ste A01, Meridian, MS 39309 | 2006-01-25 |
| 1093863433 | Angeles L Ballou | Nurse Practitioner | Nbhc Nas Meridian, 1801 Fuller Road Bldg 367, Meridian, MS 39309-0001 | 2007-01-08 |
| 1194705665 | Bonnie Roberts Chavez | Psychologist | Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309-0001 | 2006-01-19 |
| 1861472748 | Karlyna L. D. Andersen | Family Medicine | Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309-0001 | 2006-01-18 |
| 1477533255 | Craig Morgenstern | Family Medicine | Naval Branch Health Clinic, 1801 Fuller Road, Suite A-01, Bldg 367, Meridian, MS 39309-0001 | 2006-01-18 |
| 1568545556 | Angela Mcdonald | Nurse Practitioner | Nbhc Meridian 1801 Fuller St Bldg 367, Meridian, MS 39309-3107 | 2006-10-23 |
| 1265843155 | Patricia Everette | Social Worker | 1155 Rosenbaum Ave, Building 405, Naval Air Station, Meridian, MS 39309-5062 | 2014-05-13 |
| 1972583664 | Rowland Eugene Mccoy | Dentist | 1801 Fuller Rd, Bldg 367, Meridian, MS 39309-5106 | 2006-01-19 |
| 1245210269 | Ann Louise Lagreco | Dentist | Naval Branch Health Clinic, 1801 Fuller Rd Ste A-01, Meridian, MS 39309-5106 | 2006-01-17 |
| 1609076033 | Branch Medical Clinic Meridian | Clinic/Center | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2007-07-24 |
| Find all providers in zip 39309 | ||||
| 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 |
|---|---|---|---|---|
| 1619381415 | Department of Air Force 81st Medical Group | Military/U.S. Coast Guard Pharmacy | 506 Larcher Blvd Ste B, Keesler Afb, MS 39534-2342 | 2014-06-19 |
| 1003915422 | 81st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Service Drive, Building 1704a, Keesler Afb, MS 39534 | 2006-09-22 |
| 1609975036 | Eisenhower Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1001 Lee Avenue, Bldg 1302, Hattiesburg, MS 39401 | 2006-09-22 |
| 1477652899 | 81st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 301 Fisher St # 104, Keesler Afb, MS 39534-2508 | 2006-09-22 |
| 1194824516 | Branch Medical Clinic Gulfport | Military/U.S. Coast Guard Pharmacy | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2006-09-22 |
| 1386743706 | 14th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 201 Independence Bldg 1100, Columbus, MS 39710-5300 | 2006-09-22 |
| 1558760504 | 14th Medical Squadron | Military/U.S. Coast Guard Pharmacy | 201 Independence Bldg 1100, Columbus, MS 39710-5300 | 2014-08-15 |
| 1558773192 | Branch Medical Clinic Gulfport | Military/U.S. Coast Guard Pharmacy | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-06-02 |
| 1710967526 | Keesler Medical Center 81mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 301 Fisher St, Ste 101 Rm 1a132, Keesler Afb, MS 39534-2508 | 2006-01-18 |
| 1487630356 | 14th Medical Group | Military/U.S. Coast Guard Pharmacy | 201 Independence, Suite 101, Columbus, MS 39710-5300 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
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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.