SHAPE HEALTH FACILITY (NPI# 1518036797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518036797 |
| Entity Type | Organization |
| Organization Name | SHAPE HEALTH FACILITY |
| Other Organization Name | SHAPE PHCY |
| Practice Address |
Shape Health Facility Unit 21414 Apo AE 09705 |
| Mailing Address |
Shape Health Facility Unit 21414 Box 3530 Apo AE 09705 |
| Practice Telephone | 2102218274 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-06-08 |
| 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 | 2113965 | 01 |
| Other Name | Type Code |
|---|---|
| SHAPE PHCY | Doing Business As Name - Organization |
| Street Address |
SHAPE HEALTH FACILITY UNIT 21414 |
| City | APO |
| State | AE |
| Zip Code | 09705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881888436 | Cynthia Louise Bell | Clinic/Center | Unit 21414 Box 3530, Apo, AE 09705 | 2007-08-28 |
| 1720283500 | Ermc Uniform Business Office | Clinic/Center | Unit 21414, Box 3530, Apo, AE 09705 | 2007-06-20 |
| 1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
| 1326124686 | Stefan Matthew Kochis | Optometrist | Unit 21414, Shf, Apo, AE 09705 | 2006-10-30 |
| 1669586582 | Michael Rolli | General Practice | Shape Hcf Unit 21414, Box 153, Apo, AE 09705 | 2006-08-18 |
| 1477666071 | Jennifer Frost | Occupational Therapist | Unit 21420 Box3530, Apo, AE 09705 | 2006-08-16 |
| 1225079767 | John Paul Blanchard | Social Worker | Shape Healthcare Facility, Unit 21414 Box 18, Apo, AE 09705 | 2006-06-08 |
| 1184682122 | Maria Teresa Perez | Speech-Language Pathologist | Shf Unit 21414 Box 223, Apo, AE 09705 | 2006-05-01 |
| 1912964230 | United States Army Nurse Corps | Clinic/Center | Shape Hcf Unit 21414 Box 169, Apo, AE 09705 | 2006-04-28 |
| 1629039524 | Franklin H Hauger | Family Medicine | S.h.f. Unit 21414, Box 196, Apo, AE 09705 | 2006-03-30 |
| Find all providers in zip 09705 | ||||
| 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 |
|---|---|---|---|---|
| 1265756316 | 86th Mdss Sgsap | Military/U.S. Coast Guard Pharmacy | Bldg 2114 86th Mdss Sgsap Unit 3215, Apo, AE 09094-3214 | 2010-03-18 |
| 1013163088 | Bagram Btif | Military/U.S. Coast Guard Pharmacy | 724th Mp Bn/tf Bulldog, Disney Drive Bldg 365, Apo, AE 09354 | 2008-08-11 |
| 1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
| 1376617506 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Attn Pad, Apo, AE 09042 | 2006-11-20 |
| 1972672004 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 406, Apo, AE 09110 | 2006-11-06 |
| 1417036633 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 418, Apo, AE 09058 | 2006-11-06 |
| 1316016496 | 31st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 121, Aviano Ab Italy, Apo, AE 09604-0245 | 2006-11-06 |
| 1376612499 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 263, Apo, AP 96260-0275 | 2006-11-06 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1659440725 | U.S. Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 405, Avenue C, Apo, AP 96264 | 2006-11-06 |
| Find all providers in APO | ||||
Please comment or provide details below to improve the information on SHAPE HEALTH FACILITY.
| 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.