RUCKER MAIN PHCY (UNITED STATES ARMY AEROMEDICAL CENTER) NPI 1346349495

Military/U.S. Coast Guard Pharmacy in Ft Rucker, AL

NPI 1346349495 Organization Military/U.S. Coast Guard Pharmacy

About RUCKER MAIN PHCY (UNITED STATES ARMY AEROMEDICAL CENTER)

Rucker Main Phcy (united States Army Aeromedical Center) is a provider established in Ft Rucker, Alabama specializing in military/u.s. coast guard pharmacy. The NPI number of Rucker Main Phcy (united States Army Aeromedical Center) is 1346349495 and was assigned on September 2006. The practitioner's primary taxonomy code is 332000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Rucker Main Phcy. The authorized official of this NPI record is Hector Morales (Chief Dha Pass)

NPI

1346349495

Provider NameRUCKER MAIN PHCY (UNITED STATES ARMY AEROMEDICAL CENTER)
Provider Location AddressDUSTOFF AVE BLDG 301 FT RUCKER, AL 36362
Provider Mailing Address301 ANDREWS RD ATTN MCXY-RM-TPCP FT RUCKER, AL 36362
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameRUCKER MAIN PHCY
Other Name TypeDoing Business As (3)
Enumeration Date09-22-2006
Last Update Date06-25-2015


Primary Taxonomy

Taxonomy Code332000000X
ClassificationMilitary/U.S. Coast Guard Pharmacy
TypeSuppliers
Taxonomy DescriptionA 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.

Business Address

RUCKER MAIN PHCY
DUSTOFF AVE BLDG 301
FT RUCKER, AL
ZIP 36362
Phone: (334) 255-7175
Fax: (334) 255-7176

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Mailing Address

RUCKER MAIN PHCY
301 ANDREWS RD ATTN MCXY-RM-TPCP
FT RUCKER, AL
ZIP 36362
Phone: (334) 255-7175
Fax: (334) 225-7176



Authorized Official

Authorized Official Name HECTOR MORALES
Authorized Official TitleCHIEF DHA PASS
Authorized Official Phone(210) 536-6650

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1993462OTHER (01)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.