36TH MEDGRP-MARIANAS GUAM NPI 1861804643

NPI Information

  • NPI: 1861804643
  • Provider Name: 36TH MEDGRP-MARIANAS GUAM
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • :
  • Address: 36TH MEDICAL SUPPORT SQUADRON
    26001
    AGANA, GU
    ZIP 96910
  • Phone: (671) 366-5271

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NPI Details

36TH MEDGRP-MARIANAS GUAM is a military us coast guard pharmacy in Agana, GU. 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. 36TH MEDGRP-MARIANAS GUAM NPI is 1861804643. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

36TH MEDICAL SUPPORT SQUADRON
26001
AGANA, GU
ZIP 96910
Phone: (671) 366-5271
Fax: (671) 366-1229

The provider's authorized official is Hector Morales .
The authorized official title is Dha Pod and has the following contact phone number (210) 536-6118.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 5/29/2025.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12145944OTHERPK

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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