96TH Medgrp-Eglin

Primary specialty

Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X

Legal business name

96TH MEDGRP-EGLIN

Doing business as

EGLIN 7th SFG PHCY

Practice address

4315 El Salvador Way
Building 4315
Eglin AFB, FL 32542-1711

Phone

(850) 885-7554

Fax

(850) 885-9977

NPI assigned

Dec 19, 2014

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

96TH MEDGRP-EGLINAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• EGLIN 7th SFG PHCY Doing business as

Tax ID family

96TH Medgrp-Eglin3 organizations share this tax ID, including this one

Part of

96TH Medgrp-Eglin

Other organizations with this tax ID 2

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

• 96TH Medgrp-Eglin

  • Military General Acute Care Hospital
  • Eglin AFB, FL
  • NPI 1588647770
  NPD tax ID
• 96TH Medgrp-Eglin

  dba DoD EGLIN ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Eglin AFB, FL
  • NPI 1598177123
  NPD tax ID

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1083012223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-885-7554",
            "fax_number": "850-885-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 EL SALVADOR WAY",
            "address_2": "BUILDING 4315",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421711",
            "telephone_number": "850-885-7554",
            "fax_number": "850-885-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "96TH MEDGRP-EGLIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "96TH MEDGRP-EGLIN",
        "enumeration_date": "2014-12-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "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": "2149365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EGLIN 7th SFG PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 96TH Medgrp-Eglin
• 96TH Medgrp-Eglin (DoD EGLIN ePhcy)
• Diane Marie Abel, PHARMD
• John Douglas Adams, MD
• Patricia G Adams, LCSW

• Military/U.S. Coast Guard Pharmacy in Eglin AFB, FL
• Providers in Eglin AFB, FL by specialty
• Military/U.S. Coast Guard Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.