MCDONALD ARMY HEALTH CENTER (NPI# 1134226988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134226988 |
| Entity Type | Organization |
| Organization Name | MCDONALD ARMY HEALTH CENTER |
| Other Organization Name | STORY PHCY |
| Practice Address |
649 New Guinea Rd Ft Story VA 23459 |
| Mailing Address |
579 Jefferson Ave Attn: Ubo Ft Eustis VA 23604-1526 |
| Practice Telephone | 7574227822 |
| Practice Fax Number | 7573147764 |
| Mailing Telephone | 7573147881 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-01-20 |
| 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 | 2104765 | 01 |
| Other Name | Type Code |
|---|---|
| STORY PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
| 1386743409 | Mcdonald Army Health Center | Pharmacy | Ingalls Rd Bldg 82, Ft Monroe, VA 23651 | 2006-09-22 |
| 1124127246 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave Rm J7, Fort Eustis, VA 23604-1373 | 2006-09-22 |
| 1609339340 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 5309 Discovery Park Blvd, Williamsburg, VA 23188-2789 | 2019-04-10 |
| 1861807703 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-06-30 |
| 1992933279 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 815 Gaffey Pl, Fort Eustis, VA 23604-1505 | 2009-06-25 |
| 1528295318 | Mcdonald Army Health Center | Clinic/Center | 664 Darcy Pl, Fort Eustis, VA 23604-1635 | 2009-06-18 |
| Street Address |
649 NEW GUINEA RD |
| City | FT STORY |
| State | VA |
| Zip Code | 23459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218556 | Carli Michelle Deitel | Student in an Organized Health Care Education/Training Program | Uss Carter Hall, Virginia Beach, VA 23459 | 2019-04-07 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1346686888 | Jonathan Kan | Military Health Care Provider | 1855 Helicopter Road, Virginia Beach, VA 23459 | 2013-05-10 |
| 1710276480 | Michael Monroe | Military Health Care Provider | 2520 Midway Rd, Ste 200, Eodmu Two Medical Dept, Virginia Beach, VA 23459 | 2011-04-04 |
| 1922214378 | Zachary Dukane Pryor | Military Health Care Provider | 1745 10th Street, Beach Master Unit Two, Virginia Beach, VA 23459 | 2007-05-15 |
| 1962561118 | James Andrew Church | Nurse Practitioner | 642 New Guinea Rd, Ft. Story, VA 23459 | 2006-12-06 |
| 1376946897 | Lydia Kay Andaya | Military Health Care Provider | 2220 Schofield Rd, Virginia Beach, VA 23459 | 2014-09-29 |
| 1326467754 | Sajeewane Manjula Seales | Family Medicine | Naval Medical Center Portsmouth, 1035 Nider Blvd, Virginia Beach, VA 23459 | 2014-04-14 |
| 1255677332 | Daniel Wayne Davis | Physician Assistant | 1035 Nider Blvd, Suite 100, Virginia Beach, VA 23459 | 2012-12-18 |
| 1881057883 | Christopher James Knoedler Jr. | Student in an Organized Health Care Education/Training Program | Marine Corps Security Cooperation Group, 937 Atlantic Ave, Fort Story, VA 23459-0001 | 2016-03-29 |
| Find all providers in zip 23459 | ||||
| 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 |
|---|---|---|---|---|
| 1174172183 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 | 2019-09-11 |
| 1114403961 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 7021 Harbor View Blvd, Suffolk, VA 23435-2869 | 2018-07-16 |
| 1437563269 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 | 2014-06-19 |
| 1508270950 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 | 2014-06-13 |
| 1205249059 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 | 2014-06-10 |
| 1467680819 | World Class Marketing Inc | Military/U.S. Coast Guard Pharmacy | 1814 Kecoughtan Rd, Suite B, Hampton, VA 23661-2834 | 2009-06-24 |
| 1609966936 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 | 2006-10-16 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1659470771 | 1st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 65 Spaatz Dr, Langley Afb, VA 23665-2027 | 2006-09-22 |
| 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.