Healthcare Provider Details

I. General information

NPI: 1558773069
Provider Name (Legal Business Name): NHC HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HEALTH CLINIC BLDG 3089, D STREET
KANEOHE BAY HI
96744
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVE OOR
PEAL HARBOR HI
96744
US

V. Phone/Fax

Practice location:
  • Phone: 808-257-3365
  • Fax: 808-257-1326
Mailing address:
  • Phone: 808-257-6962
  • Fax: 808-257-3126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HECTOR MORALES
Title or Position: CHIEF DHA POSC
Credential:
Phone: 210-536-6650