FT MEADE MEDDAC NPI 1639938368

NPI Information

  • NPI: 1639938368
  • Provider Name: FT MEADE MEDDAC
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • :
  • Address: RAVEN ROCK MOUNTAIN COMPLEX
    450 HARBAUGH VALLEY ROAD
    FAIRFIELD, PA
    ZIP 17214
  • Phone: (717) 878-5252

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NPI Details

FT MEADE MEDDAC is a military us coast guard pharmacy in Fairfield, PA. The provider is 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. FT MEADE MEDDAC NPI is 1639938368. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

RAVEN ROCK MOUNTAIN COMPLEX
450 HARBAUGH VALLEY ROAD
FAIRFIELD, PA
ZIP 17214
Phone: (717) 878-5252
Fax: (301) 677-8456

The provider's authorized official is Hector Morales .
The authorized official title is Dha Pod Sr Program Analyst and has the following contact phone number (210) 536-6650.

The enumeration date for this NPI number is 3/15/2024 and was last updated on 5/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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