Organization · Type 2 NPI

FT Meade Meddac

Military/U.S. Coast Guard Pharmacy · Fort Meade, MD

NPI number 1437563871 Active

Practice location

2480 Llewellyn Ave Ste 5800, Kimbrough Ambulatory Care Center
Fort Meade, MD 20755-5129

Call (301) 677-8800 Map

Fax (301) 677-8456

Mailing address

Kimbrough Acc Military Mtf, Co Cdr Usameddac Mcxr-Bd 2480 Luwellyn Ave Ste 5800
Fort Meade, MD 20755-5129

Specialties and licenses

Taxonomy	Code	License
Military/U.S. Coast Guard Pharmacy Primary	332000000X	None listed
Pharmacy	333600000X	None listed

Military/U.S. Coast Guard Pharmacy: 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.

11 other providers at this address

NPI record

NPI: 1437563871
Entity type: Organization (Type 2)
Issued: Jun 13, 2014
Last updated: May 30, 2025
Status: Active
Subpart: Yes of FT Meade Meddac

Other names

<unavail>
Dod FT Meade Pharmacy · doing business as
Dod FT Meade Ephcy · doing business as

Authorized official

Hector Morales
Chief Dha Pass
(210) 536-6650

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437563871

FT Meade Meddac's National Provider Identifier is 1437563871, issued on Jun 13, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Fort Meade, MD. The record was last updated on May 30, 2025.