NPIMap

Organization Active NPI

59TH MDW-Whasc-Lackland

  • Military/U.S. Coast Guard Pharmacy
  • Lackland Afb, TX
National Provider Identifier
1063829414
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
59TH MDW-WHASC-LACKLAND
Doing business as
DoD LACKLAND ePhcy
Practice address
2275 Reese St
Lackland Afb, TX 78236-1245
Phone
(210) 292-7970
Fax
(210) 292-7207
NPI assigned
Jul 17, 2014
Organization subpart
Yes
Parent organization
59TH MDW-WHASC-LACKLANDAs 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 Primary

Addresses

Primary practice location

2275 Reese St
Lackland Afb, TX 78236-1245

Mailing address

Wilford Hall Medical Center C/O 59 MDW Cashier Cage
2200 Berquist Dr. Ste. 1
Lackland Afb, TX 78236
Phone (210) 292-7970

Other identifiers 1

IdentifierTypeStateIssuer
2146874OtherPK

Other names 1

  • DoD LACKLAND ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilford Hall Medical Center4 organizations share this tax ID, including this one
Part of
Wilford Hall Medical Center

Other organizations with this tax ID 3

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

Locations

2275 Reese St
Lackland AFB, TX 78236
Phone (210) 292-7970

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1063829414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILFORD HALL MEDICAL CENTER C/O 59 MDW CASHIER CAGE",
            "address_2": "2200 BERQUIST DR. STE. 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-7970",
            "fax_number": "210-292-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 REESE ST",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782361245",
            "telephone_number": "210-292-7970",
            "fax_number": "210-292-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "59TH MDW-WHASC-LACKLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "59TH MDW-WHASC-LACKLAND",
        "enumeration_date": "2014-07-17",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD LACKLAND ePhcy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DoD LACKLAND ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lackland Afb, TX

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.