Active NPI
56TH Medgrp-Luke
Doing business as DoD LUKE ePhcy
- Military/U.S. Coast Guard Pharmacy
- Luke AFB, AZ
National Provider Identifier
1043627631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Pharmacy
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- 56TH MEDGRP-LUKE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146879 | Other | PK |
Other names 1
- DoD LUKE ePhcy
National Provider Directory
National Provider Directory- Tax ID family
- 56TH Medgrp-Luke
- 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.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Luke AFB, AZ
- NPI 1194700971
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.