KIMBROUGH ACC MILITARY MTF


Address: 2501 Oakington St, Aberdeen Pg, MD 21005
Phone: 4102781946

KIMBROUGH ACC MILITARY MTF (NPI# 1629130588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629130588
Entity Type Organization
Organization Name KIMBROUGH ACC MILITARY MTF
Other Organization Name ABERDEEN CALL-IN PHCY
Practice Address 2501 Oakington St
Aberdeen Pg
MD 21005
Mailing Address 2480 Llewellyn Ave
Cdr Usameddac Mcxr-bd Ste 5800
Fort Meade
MD 20755-7081
Practice Telephone 4102781946
Practice Fax Number 4102783757
Mailing Telephone 3016778512
Enumeration Date 2006-12-15
Last Update Date 2011-03-23
Authorized Official Name HECTOR MORALES (PHARMACY OPERATIONS CENTER MGR)
Authorized Official Telephone 2102218443
Is Organization Subpart Y
Parent Organization Name KIMBROUGH ACC MILITARY MTF

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 2125347 01

Other Provider/Organization Names

Other Name Type Code
ABERDEEN CALL-IN PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2501 OAKINGTON ST
City ABERDEEN PG
State MD
Zip Code 21005

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275910986 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) Chesapeake and Raritan Avenue, Bldg. 2401, Aberdeen Proving Ground, MD 21005 2015-05-01
1801238779 Michelle Jones Nurse Practitioner 6235 Plum Point Loop, Aberdeen Proving Ground, MD 21005 2013-07-20
1942342928 Stefan Anthony Eltgroth Internal Medicine 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 2007-02-13
1366555609 Georgia Grace Rogers Dentist 6455 Machine Street, Apg Dental Clinic, Aberdeen Proving Ground, MD 21005 2006-08-17
1568430759 Kevin P. Michaels Preventive Medicine Kirk U.S. Army Health Clinic, 2501 Oakington St, Aberdeen Proving Ground, MD 21005 2006-03-14
1013518331 Karina Madelline Morales Sandoval Dental Assistant 6455 Machine Street, Aberdeen Proving Ground, MD 21005 2020-11-03
1487296620 Kelvin Bernard Albright Jr. Dental Assistant 6455 Machine Street, Apg, MD 21005 2019-10-09
1265997910 Hyunju Nielsen Counselor 6270 Plum Point Loop, Aberdeen Proving Ground, MD 21005-1422 2019-02-06
1184042053 Melody L King Physical Therapy Assistant 3825 Memorial Ct Apt D, Aberdeen Proving Ground, MD 21005-1759 2014-03-28
1427690668 Jihyun Yoon Dental Hygienist 6455 Machine St Building 4501, Aberdeen Proving Ground, MD 21005-1952 2019-10-09
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548868870 Walter Reed National Military Medical Center Military/U.S. Coast Guard Pharmacy 101 Buchanan Rd, Annapolis, MD 21402-5107 2020-10-09
1184273195 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640-5162 2019-09-11
1063763241 National Naval Medical Center Military/U.S. Coast Guard Pharmacy 8901 Wisconsin Ave Dept Ofphcy, Bldg 9, Room 2303, Bethesda, MD 20889-0001 2012-09-27
1902905318 Naval Health Clinic Patuxent River Military/U.S. Coast Guard Pharmacy Bldg 1370, Patuxent River, MD 20670 2006-09-22
1679672083 Dunham Army Health Clinic Military/U.S. Coast Guard Pharmacy 1452 Porter St, Ft Detrick, MD 21702 2006-09-22
1851490270 Malcom Grow Medical Center 79 Mdg Mdss Sgsr Military/U.S. Coast Guard Pharmacy 1050 W Perimeter Rd # D1119, Jb Andrews, MD 20762-6601 2006-09-22
1174620926 Naval Health Clinic Patuxent River Military/U.S. Coast Guard Pharmacy Bldg 1600 Wilson Drive, Indian Head, MD 20640 2006-09-20
1265539019 Malcom Grow Medical Center 79 Mdg Mdss Sgsr Military/U.S. Coast Guard Pharmacy 1 San Diego Loop Bldg 3188, Jb Andrews, MD 20762-5518 2006-09-20
1205242310 Kimbrough Acc Military Mtf Military/U.S. Coast Guard Pharmacy 1434 Porter St, Frederick, MD 21702-9254 2014-07-09
1649682162 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 2014-06-02
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Competitor

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City ABERDEEN PG
Zip Code 21005

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Dataset Information

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.

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