KIMBROUGH ACC MILITARY MTF (NPI# 1639667736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639667736 |
| Entity Type | Organization |
| Organization Name | KIMBROUGH ACC MILITARY MTF |
| Practice Address |
G-avenue Bldg 400 Dept of Pharmacy New Cumberland PA 17070 |
| Practice Telephone | 7177707283 |
| Practice Fax Number | 7177708484 |
| Mailing Telephone | 7177707283 |
| Mailing Fax Number | 7177708484 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | HECTOR MORALES (CHIEF OF PASS) |
| Authorized Official Telephone | 2105636650 |
| 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 | 2177348 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1437563871 | Kimbrough Acc Military Mtf | Pharmacy | 2480 Llewellyn Ave Ste 5800, Kimbrough Ambulatory Care Center, Fort Meade, MD 20755-5129 | 2014-06-13 |
| Street Address |
G-AVENUE BLDG 400 DEPT OF PHARMACY |
| City | NEW CUMBERLAND |
| State | PA |
| Zip Code | 17070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215180963 | John Dellegrotto | Speech-Language Pathologist | 1703 Kathryn St, New Cumberland, PA 17070 | 2008-10-28 |
| 1164611307 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 560 Old York Road, New Cumberland, PA 17070 | 2007-10-23 |
| 1871709576 | Kimbrough Acc Military Mtf | Clinic/Center | 99 G Street, Bldg 400, New Cumberland, PA 17070 | 2007-05-16 |
| 1831156082 | Robert C Zabinski | Chiropractor | 3028 Market St, Suite 1, Camp Hill, PA 17070 | 2006-04-28 |
| 1669431433 | John N Pikulin | Chiropractor | 221 Bridge St, New Cumberland, PA 17070 | 2006-03-21 |
| 1598289910 | Pain Medicine of York, LLC | Anesthesiology | 1900 Bridge St, New Cumberland, PA 17070 | 2017-07-27 |
| 1134243488 | Sara Elizabeth Trimmer | Pharmacist | 701 Bridge St, New Cumberland, PA 17070 | 2007-03-19 |
| 1699806125 | Mark M. Minium | Dentist | 1412 Bridge St, New Cumberland, PA 17070-1117 | 2007-03-08 |
| 1265867782 | Taylor J Lamb | Dentist | 1412 Bridge St, New Cumberland, PA 17070-1117 | 2013-09-04 |
| 1699806158 | Mark J. Kearns | Dentist | 1412 Bridge St, New Cumberland, PA 17070-1117 | 2007-03-08 |
| Find all providers in zip 17070 | ||||
| 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 |
|---|---|---|---|---|
| 1295834455 | Willow Grove Phcy | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 137, Willow Grove, PA 19090 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1992108633 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2014-10-08 |
| 1316132871 | Delaware Bay Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 1 Washington Ave, Philadelphia, PA 19147-4335 | 2007-09-07 |
| 1114081866 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1336203082 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Ata Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
| 1063574481 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Dunham Special Order Phcy, Carlisle Barracks, PA 17013-5090 | 2006-12-14 |
| 1730254152 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2006-11-21 |
| 1063519817 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-09-20 |
| City | NEW CUMBERLAND |
| Zip Code | 17070 |
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.