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FT MEADE MEDDAC
NPI 1205242310
Military/U.S. Coast Guard Pharmacy in Frederick, MD

Active since July 09, 2014
1434 PORTER ST, FREDERICK, MD 21702(301) 619-6710(301) 619-6286 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2025, Mar 21, 2023 (2 updates tracked since 2023).

About Ft Meade Meddac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FT MEADE MEDDAC (NPI 1205242310), doing business as Dod Ft Detrick Pharmacy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Frederick, Maryland and active in the NPI registry since July 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1205242310
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business NameFT MEADE MEDDAC
Location Address1434 PORTER STFrederick, MD 21702-9254
Mailing AddressKimbrough Acc Military Mtf, C/o Cdr Usameddac Mcxr-bd 2480 Luwellyn Ave Ste 5800Ft Meade, MD 20755-5129 · (301) 619-6710 · Fax (301) 619-6286
Phone(301) 619-6710
Fax(301) 619-6286
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJuly 9, 2014
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1205242310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary/U.S. Coast Guard PharmacySuppliers
Taxonomy Code332000000X
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.
1434 PORTER ST, Frederick, MD 21702
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Other Names 2

Doing Business AsDod Ft Detrick Pharmacy
Doing Business AsDod Ft Detrick Ephcy

Other Identifiers 1

Other2146748Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL EDWARD FORST M. D.
Family Medicine
1434 PORTER ST
FORT DETRICK, MD 21702
Frederick County (301) 619-6917
YANYAN GAO X2
Dental Hygienist
1434 PORTER ST
FORT DETRICK, MD 21702
Frederick County (301) 619-7656
KATIE FLETCHER
Physical Therapy Assistant
1434 PORTER ST
FREDERICK, MD 21702
Frederick County (301) 619-6089
CAROL TOBIAS RN
Registered Nurse (Occupational Health)
1434 PORTER ST
FREDERICK, MD 21702
Frederick County (301) 619-4904
VICTORIA ADRIANA CATERINA
Dental Hygienist
1434 PORTER ST
FORT DETRICK, MD 21702
Frederick County (301) 619-7675
ROBERT E. SCHWARTZ JR. P.T.
Specialist
1434 PORTER ST, BAHC
FORT DETRICK, MD 21702
Frederick County (301) 619-4670
MRS. MELISSA L TENNANT P.T.
Physical Therapist
1434 PORTER ST
FREDERICK, MD 21702
Frederick County (301) 619-8607
MELLISA TAMIKA BARNSWELL PA-C
Physician Assistant
1434 PORTER ST
FREDERICK, MD 21702
Frederick County (301) 619-7175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ft Meade Meddac's NPI number?

The NPI number for Ft Meade Meddac is 1205242310. It was assigned to this organization in the NPPES registry on July 9, 2014. The provider is doing business as Dod Ft Detrick Pharmacy and DoD FT DETRICK ePhcy.

Where is Ft Meade Meddac located?

Ft Meade Meddac is located at 1434 Porter St, Frederick, MD 21702. The listed phone number is (301) 619-6710.

What is Ft Meade Meddac's specialty?

The primary specialty registered for this NPI is Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

What insurance does Ft Meade Meddac accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 27 other insurers list Ft Meade Meddac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ft Meade Meddac was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.