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AMC EISENHOWER
NPI 1215036983
Military/U.S. Coast Guard Pharmacy in Ft Gordon, GA

Active since September 21, 2006
AVENUE B BLDG 29709, MARK CONNELLY HEALTH CLINIC, FT GORDON, GA 30905(706) 787-5167(706) 787-6175 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2025, Oct 25, 2023 (2 updates tracked since 2023).

About Amc Eisenhower NPPES

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

AMC EISENHOWER (NPI 1215036983), doing business as Ft Eisenhower Connelly Pharmacy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Ft Gordon, Georgia and active in the NPI registry since September 2006. The organization lists Hector Morales, Dha Pod Sr Program Analyst, as its authorized official.

NPPES Registry Identity

NPI1215036983
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business NameAMC EISENHOWER
Location AddressAVENUE B BLDG 29709, MARK CONNELLY HEALTH CLINICFt Gordon, GA 30905
Mailing AddressEisenhower Army Medical Center, Attn Mchf-padFt Gordon, GA 30905-5741 · (706) 787-5167 · Fax (706) 787-6175
Phone(706) 787-5167
Fax(706) 787-6175
Organization SubpartYes
Authorized OfficialHector MoralesDha Pod Sr Program Analyst · (210) 536-6650
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1215036983 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.

AVENUE B BLDG 29709, Ft Gordon, GA 30905
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Other Names 1

Doing Business AsFt Eisenhower Connelly Pharmacy

Other Identifiers 1

Other2020249Pk

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 ›

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 Amc Eisenhower's NPI number?

The NPI number for Amc Eisenhower is 1215036983. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Ft Eisenhower Connelly Pharmacy.

Where is Amc Eisenhower located?

Amc Eisenhower is located at Avenue B Bldg 29709 Mark Connelly Health Clinic, Ft Gordon, GA 30905. The listed phone number is (706) 787-5167.

What is Amc Eisenhower's specialty?

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

What insurance does Amc Eisenhower 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 Amc Eisenhower 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 Amc Eisenhower was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.