TRIPLER ARMY MEDICAL CENTER (NPI# 1972919348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972919348 |
| Entity Type | Organization |
| Organization Name | TRIPLER ARMY MEDICAL CENTER |
| Other Organization Name | DOD SCHOFIELD EPHCY |
| Practice Address |
Bldg 676 Schofield Barracks HI 96857-5460 |
| Mailing Address |
Tripler Army Medical Center 1 Jarrett White Rd Pad Mchk-pat-t Honolulu HI 96859-5001 |
| Practice Telephone | 8084338423 |
| Practice Fax Number | 8084338417 |
| Mailing Telephone | 8084338423 |
| Mailing Fax Number | 8084338417 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2016-01-15 |
| 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 | 2146675 | 01 |
| Other Name | Type Code |
|---|---|
| DoD SCHOFIELD ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114230109 | Tripler Army Medical Center | Clinic/Center | 91-1010 Shangrila St, Suite 100, Kapolei, HI 96707-2161 | 2010-07-19 |
| 1538365036 | Tripler Army Medical Center | Clinic/Center | Bldg 660 Mccornack Road, Dental Clinic, Schofield Barracks, HI 96857 | 2007-06-22 |
| 1750599403 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 677, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1841408598 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 682, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2006-09-21 |
| 1427157056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1245628056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2014-12-31 |
| 1629482062 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2014-06-13 |
| 1902218423 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2014-06-02 |
| 1588944821 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2011-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRIPLER ARMY MEDICAL CENTER | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 |
| Street Address |
BLDG 676 |
| City | SCHOFIELD BARRACKS |
| State | HI |
| Zip Code | 96857-5460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2006-09-21 |
| 1225190267 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857 | 2006-12-15 |
| 1518029552 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542529 | Susan H. Greenia | Marriage & Family Therapist | 673 Ayres Ave, Bdlg 750 Room 136, Schofield Barracks, HI 96857 | 2020-06-11 |
| 1528688215 | Angelika Koreen-gordon | Registered Nurse | Desmond T. Doss Health Clinic, Bldg 682, Schofield Barracks, HI 96857 | 2020-04-22 |
| 1841822863 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Schofield Main Exchange Building, 694 Mccornack Suite Sac19, Schofield Barracks, HI 96857 | 2020-02-07 |
| 1972152528 | Andrea D Raskin | Dental Hygienist | Bldg 660 Mc Cornack Road, Schofield Barracks, HI 96857 | 2019-09-06 |
| 1376190959 | Nicole Felice Bishop | Dental Hygienist | Bldg#678 Mccornack Road, Na Koa Dental Clinic, Schofield Barracks, HI 96857 | 2019-08-20 |
| 1134648728 | Fiorela Ruiz | Social Worker | 471 Brannon Rd. Bldg. 96857, Schofield Barracks, HI 96857 | 2017-09-14 |
| 1821512245 | Jennifer Jo Witt | Nurse Practitioner | 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 | 2017-07-27 |
| 1154842847 | Tracey Lynne Ross | Physical Therapy Assistant | 371 Brannon Road, Building 663, Schofield Barracks, HI 96857 | 2017-07-03 |
| 1205388279 | Amber Marks | Physician Assistant | Us Army Healthcare Clinic, Bldg 677, Schofield Barracks, HI 96857 | 2016-10-26 |
| 1144616442 | Rocky L. Cole | Counselor | 2094 Flagler Rd, Rm. 203a, Schofield Barracks, HI 96857 | 2015-04-13 |
| Find all providers in zip 96857 | ||||
| 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 |
|---|---|---|---|---|
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2006-09-21 |
| 1225190267 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857 | 2006-12-15 |
| 1518029552 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1134397037 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Camp Smith Medical Naval Annex, Camp Smith, HI 96861 | 2008-02-13 |
| 1902084577 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Wahaiwa Brmax Eastpac, 500 Center St Bldg 22, Wahiawa, HI 96786 | 2008-02-06 |
| 1083713606 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Bldg 1407, Pearl Harbor, HI 96860-4908 | 2006-09-21 |
| 1891894416 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | D Street Bldg 3089, Kaneohe, HI 96863-3066 | 2006-09-21 |
| 1427157056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1588638167 | Us Air Force 15 Cpts Fmf PC | Military/U.S. Coast Guard Pharmacy | 15th Medical Group Sgsbr, 755 Scott Circle, Honolulu, HI 96853-5399 | 2006-02-13 |
| 1245628056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2014-12-31 |
| 1629482062 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2014-06-13 |
| 1558773069 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic, Bldg 3089, D Street, Kaneohe Bay, HI 96744 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SCHOFIELD BARRACKS |
| Zip Code | 96857 |
Please comment or provide details below to improve the information on TRIPLER ARMY MEDICAL CENTER.
| 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.