NPI age
19 years
Enumerated 2006-09-21
● Active Type 2 · Organization
Subpart
Eisenhower Army Medical Center
Eisenhower Army Medical Center is 1 of 21 military/u.s. coast guard pharmacy organizations in Georgia.
Primary specialty
Military/U.S. Coast Guard Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morales
Mgr Phrmcy Operations Cntr
Last NPPES update
2013-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 21 active military/u.s. coast guard pharmacy providers in Georgia.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1701 Hardee Ave Sw, Bldg 125
Ft McPherson, GA 30330
Mailing address
300 W Hospital Rd, Attn McHf-Pad
Fort Gordon, GA 309055741
Authorized official
Hector Morales
Mgr Phrmcy Operations Cntr
📞 2102218274
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Robert Daniell, PH.D. Psychologist NPI 1346230208
- Wyvonia Garnett, LPN Licensed Practical Nurse NPI 1265643076
- Merri Slick, LCSW Social Worker NPI 1396735932
Specialties
-
Military/U.S. Coast Guard Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1147102 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MACPHERSON MAIN PHCY
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Eisenhower Army Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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