Organization Active NPI

56TH Medgrp-Luke

Doing business as DoD LUKE ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Luke AFB, AZ
National Provider Identifier
1043627631
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
56TH MEDGRP-LUKE
Doing business as
DoD LUKE ePhcy
Practice address
7219 N Litchfield Rd BLDG 1130
Luke AFB, AZ 85309-1529
Phone
(623) 856-3934
Fax
(623) 856-3616
NPI assigned
Jul 16, 2014
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
56TH MEDGRP-LUKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X NU Primary

Addresses

Primary practice location

7219 N Litchfield Rd BLDG 1130
Luke AFB, AZ 85309-1529

Mailing address

56TH Medical Group C/O Jame Mitchell
7219 N. Litchfield Rd.
Luke AFB, AZ 85309
Phone (623) 856-3934

Other identifiers 1

IdentifierTypeStateIssuer
2146879OtherPK

Other names 1

  • DoD LUKE ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
56TH Medgrp-Luke2 organizations share this tax ID, including this one
Part of
56TH Medgrp-Luke

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7219 N Litchfield Rd
Bldg 1130
Luke Air Force Base, AZ 85309
Phone (623) 856-2273

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1043627631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56TH MEDICAL GROUP C/O JAME MITCHELL",
            "address_2": "7219 N. LITCHFIELD RD.",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "85309",
            "telephone_number": "623-856-3934",
            "fax_number": "623-856-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 1130",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-3934",
            "fax_number": "623-856-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "56TH MEDGRP-LUKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "56TH MEDGRP-LUKE",
        "enumeration_date": "2014-07-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD LUKE ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luke AFB, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.