KIMBROUGH ACC MILITARY MTF (NPI# 1538221528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538221528 |
| Entity Type | Organization |
| Organization Name | KIMBROUGH ACC MILITARY MTF |
| Other Organization Name | WASH DC DTHC MCNAIR REFILL PHCY |
| Practice Address |
1501 Defense Pentagon Washington DC 20310-0001 |
| Mailing Address |
2480 Llewellyn Ave Ste 5800 Fort George G Meade MD 20755-7081 |
| Practice Telephone | 7036928692 |
| Practice Fax Number | 7036974572 |
| Mailing Telephone | 7036928692 |
| Mailing Fax Number | 7036974572 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-08-31 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2005913 | 01 |
| Other Name | Type Code |
|---|---|
| WASH DC DTHC MCNAIR REFILL PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639667736 | Kimbrough Acc Military Mtf | Pharmacy | G-avenue, Bldg 400 Dept of Pharmacy, New Cumberland, PA 17070 | 2018-04-25 |
| 1457849556 | Kimbrough Acc Military Mtf | Pharmacy | Ft Indiantown Gap, Bldg 4-114, Annville, PA 17003 | 2018-04-25 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1871709576 | Kimbrough Acc Military Mtf | Clinic/Center | 99 G Street, Bldg 400, New Cumberland, PA 17070 | 2007-05-16 |
| 1417163114 | Kimbrough Acc Military Mtf | Clinic/Center | 1999 Fisher Ave, Fort Indiantown Gap, Annville, PA 17003 | 2007-05-16 |
| 1235345935 | Kimbrough Acc Military Mtf | Clinic/Center | Letterkenny Army Depot, Bldg 332, Chambersburg, PA 17201 | 2007-05-16 |
| 1689888455 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 103 3rd Ave, Building 58, Washington, DC 20319-5058 | 2007-05-10 |
| 1992108633 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2014-10-08 |
| 1205242310 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 1434 Porter St, Frederick, MD 21702-9254 | 2014-07-09 |
| 1316353782 | Kimbrough Acc Military Mtf | Pharmacy | 401 Carpenter Rd Bldg 525, Fort Myer, VA 22211-1009 | 2014-07-07 |
| Street Address |
1501 DEFENSE PENTAGON |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104923952 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2006-09-20 |
| 1861806697 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2014-06-19 |
| 1639231632 | Wramc | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310 | 2006-12-15 |
| 1861554867 | Wramc | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310 | 2006-12-15 |
| 1760544761 | Wramc | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2006-12-15 |
| 1952463952 | Wramc | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310 | 2006-12-15 |
| 1467551184 | Wramc | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124668488 | Deborah L Brimmer | Dental Hygienist | 5801 Defense Pentagon, Washington, DC 20310 | 2020-01-14 |
| 1174922645 | Maria Zumer | Physician Assistant | 5801 Army Pentagon, Washington, DC 20310 | 2014-08-20 |
| 1104269398 | Anthony Jason Belotto | Psychiatry & Neurology | 50 Irving Street, Washington, DC 20310 | 2013-04-08 |
| 1538712369 | Genesis Webb | Nurse Practitioner | 50 Irving St Northwest, Washington, DC 20310-0001 | 2019-07-21 |
| 1912359548 | Jessica Lee Nash | Military Health Care Provider | 5811 Army Pentagon # 8, Washington, DC 20310-0001 | 2016-07-07 |
| 1790030898 | Robin C Neal | Dentist | Pentagon Tri Service Dental, 5802 Army Pentagon, Washington, DC 20310-0001 | 2012-07-16 |
| 1720312093 | Jamie Belcastro | Pharmacist | 5801 Defence Pentagon, Washington, DC 20310-0001 | 2009-09-19 |
| 1053504977 | Peter Muench | Family Medicine | Dilorenzo Tricare Health Clinic - Pentagon, 5801 Army Pentagon, Washington, DC 20310-0001 | 2007-08-23 |
| 1881897544 | National Naval Medical Center | Clinic/Center | The Pentagon, Corridor 8, Washington, DC 20310-0001 | 2007-06-08 |
| 1801970355 | Hanan N Alkaysi | Pharmacist | Dthc Pentagon Pharmacy, 5801 Defense Pentagon, Washington, DC 20310-0001 | 2006-10-24 |
| Find all providers in zip 20310 | ||||
| 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 |
|---|---|---|---|---|
| 1720492093 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Branch Health Clinic Wny, 915 N Street S.e Bldg 175, Washington, DC 20374-5022 | 2014-06-16 |
| 1689888455 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 103 3rd Ave, Building 58, Washington, DC 20319-5058 | 2007-05-10 |
| 1649379363 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bldg 2 Rm 7817, Washington, DC 20012 | 2006-09-21 |
| 1558460279 | Wramc | Military/U.S. Coast Guard Pharmacy | Rm 1po2 Bldg 2, Washington, DC 20307-0001 | 2006-09-21 |
| 1730288457 | Wramc | Military/U.S. Coast Guard Pharmacy | Rm 7817 Bldg 2, Washington, DC 20307-0001 | 2006-09-21 |
| 1487751236 | Us Capital Phcy | Military/U.S. Coast Guard Pharmacy | Us Capital # H166, Washington, DC 20515-0001 | 2006-09-20 |
| 1013014869 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 1760 Usaf Pentagon, Washington, DC 20330-0001 | 2006-09-20 |
| 1922105774 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | 901 M St Se Bldg 183, Washington, DC 20374-0001 | 2006-09-20 |
| 1104923952 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2006-09-20 |
| 1831296680 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 400 7th St Sw Rm 6227, Washington, DC 20024-2585 | 2006-09-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20310 |
Please comment or provide details below to improve the information on KIMBROUGH ACC MILITARY MTF.
| 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.