OrganizationActive
Eisenhower Army Medical Center
NPI 1306945076 · Military/U.S. Coast Guard Pharmacy · Ft Gordon, GA
Provider details
- NPI number
- 1306945076
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hector Morales, Chief Dha Pass(210) 536-6650
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3rd Avenue
Bldg 38200
Ft Gordon, GA 30905
Phone: (706) 787-6155
Fax: (706) 787-6175
Approximate (ZIP-level) locationGet directions
Mailing address
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Other names (DBA / former)
- Doing business as
- Gordon Px Phcy
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2015-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.