325TH Medical Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0202205849 Issued in VA

Legal business name

325TH MEDICAL GROUP

Practice address

340 Magnolia Cir
Tyndall Afb, FL 32403-5604

Phone

(850) 283-7423

Fax

(850) 283-7013

NPI assigned

Dec 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Grace Rojas, PHARMD

Title

Associate Chief, Pharmacy Services

Phone

(850) 283-7423

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1043375389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7423",
            "fax_number": "850-283-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7423",
            "fax_number": "850-283-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "325TH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "ASSOCIATE CHIEF, PHARMACY SERVICES",
        "authorized_official_telephone_number": "850-283-7423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0202205849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 325 MDG
• 325TH Medgrp-Tyndall
• Nicholas S. Appleman, O.D.
• Dylan Baker, MD
• Donna Jane Bates
• Oliver Henry Bauer, PSYD
• Heather Danielle Bautista

• Clinic/Center in Tyndall Afb, FL
• Providers in Tyndall Afb, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.