TRIPLER ARMY MEDICAL CENTER


Address: 755 Scott Cir, Hickam Afb, HI 96853-5399
Phone: 8084486261

TRIPLER ARMY MEDICAL CENTER (NPI# 1629482062) 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) 1629482062
Entity Type Organization
Organization Name TRIPLER ARMY MEDICAL CENTER
Other Organization Name DOD HICKAM EPHCY
Practice Address 755 Scott Cir
Hickam Afb
HI 96853-5399
Mailing Address Tripler Army Medical Center Pad Mchk-pat-t
1 Jarrett White Rd
Honolulu
HI 96859-5001
Practice Telephone 8084486261
Practice Fax Number 8084486740
Mailing Telephone 8084486261
Mailing Fax Number 8084486740
Enumeration Date 2014-06-13
Last Update Date 2016-04-05
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

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
PK 2146307 01

Other Provider/Organization Names

Other Name Type Code
DoD HICKAM ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

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
1972919348 Tripler Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 676, Schofield Barracks, HI 96857-5460 2014-07-07
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

Other Data Sources

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

Office Location

Street Address 755 SCOTT CIR
City HICKAM AFB
State HI
Zip Code 96853-5399

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548241276 John Cinco Family Medicine 755 Scott Cir, Sgh, Hickam Afb, HI 96853-5399 2005-11-09
1225415235 Sonia Evoy Registered Nurse 755 Scott Cir, 15th Medical Group, Hickam Afb, HI 96853-5399 2015-04-28
1922492537 Tina Hairston Dental Hygienist 755 Scott Cir, Hickam Afb, HI 96853-5399 2015-03-20
1740626126 Tyler Garrett Dentist 755 Scott Cir, Hickam Afb, HI 96853-5399 2013-05-13
1639300312 Cameron Modisette Military Health Care Provider 755 Scott Cir, Hickam Afb, HI 96853-5399 2009-07-29
1669623690 Kenneth Raymond Bellisle Pharmacist 755 Scott Cir, 15th Medical Group, Hickam Afb, HI 96853-5399 2008-10-08
1952582009 Hickam Afb 15th Mdg Clinic/Center 755 Scott Cir, 15th Med Group, Hickam Afb, HI 96853-5399 2007-11-16
1063692234 Anthony Mark Hall Counselor 755 Scott Cir, Bldg 559, Hickam Afb, HI 96853-5399 2007-11-05
1073656856 Woody Charles Baker Dentist 755 Scott Cir, 15 Mdg Sgd, Hickam Afb, HI 96853-5399 2007-02-14
1649379322 Hickam Phcy Military/U.S. Coast Guard Pharmacy 755 Scott Cir, Hickam Afb, HI 96853-5399 2006-09-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467884759 Edward Joseph Tucholski Jr. Dentist 15 Mdg, 755 Scott Circle, Jbphh, HI 96853 2013-08-08
1922232230 Angela Marie Alveo-forbes Military Health Care Provider 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 2009-05-14
1205180783 John-michael Fowler Registered Nurse 755 Scott Circle, Jbphh, HI 96853 2012-11-05
1811250442 April A Bronowski Physical Therapist 755 Scott Circle, 15 Mdg, Joint Base Pearl Harbor Hickam, HI 96853 2012-06-19
1609812163 Joyce Ann Raszewski Nurse Practitioner 755 Scott Circle, Jbphh/hickam, HI 96853 2006-06-22
1720068976 Richard Dale Quintana Family Medicine 15th Medical Group, Hickam Afb, Honolulu, HI 96853 2006-01-21
1124262746 John Craig Bright Military Health Care Provider 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 2009-04-27
1134759715 David Maldonado Santiago Military Health Care Provider 590 Moffet St, Jbphh, HI 96853-5168 2020-01-22
1366427395 Lisa Katherine Rivera Pathology 590 Moffet St, Bldg 4077, Joint Base Pearl Harbor-hickam, Honolulu, HI 96853-5168 2005-12-13
1619154572 Hickam Fire Emergency Services Case Management 345 Mamiya Avenue, Hickam, HI 96853-5233 2008-01-23
Find all providers in zip 96853

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 city

NPI Name Taxonomy Address Enumeration
1649379322 Hickam Phcy Military/U.S. Coast Guard Pharmacy 755 Scott Cir, Hickam Afb, HI 96853-5399 2006-09-21

Providers in the same taxonomy and state

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
1558460238 Tripler Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 676, Schofield Barracks, HI 96857-5460 2006-09-21
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
1972919348 Tripler Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 676, Schofield Barracks, HI 96857-5460 2014-07-07
Find all providers with the same taxonomy

Competitor

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City HICKAM AFB
Zip Code 96853

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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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