Organization Active NPI

10TH Medgrp-Academy

  • Military/U.S. Coast Guard Pharmacy
  • Usaf Academy, CO
National Provider Identifier
1114024965
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
10TH MEDGRP-ACADEMY
Practice address
2355 Faculty Dr Ste 1N207
Usaf Academy, CO 80840-1805
Phone
(719) 333-2273
Fax
(719) 333-7977
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
10TH MEDGRP-ACADEMYAs 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

2355 Faculty Dr Ste 1N207
Usaf Academy, CO 80840-1805

Mailing address

2355 Faculty Dr Ste 1N207
Usaf Academy, CO 80840-1805
Phone (719) 333-2273

Other identifiers 1

IdentifierTypeStateIssuer
2003349OtherPK

Other names 1

  • USAF CADET CLN PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
21 Medical Group3 organizations share this tax ID, including this one
Part of
21 Medical Group

Other organizations with this tax ID 2

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

Locations

2355 Faculty Dr
Ste 1N207
USAF Academy, CO 80840
Phone (719) 333-5183

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1114024965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 FACULTY DR STE 1N207",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808401805",
            "telephone_number": "719-333-2273",
            "fax_number": "719-333-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FACULTY DR STE 1N207",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808401805",
            "telephone_number": "719-333-2273",
            "fax_number": "719-333-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "10TH MEDGRP-ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "10TH MEDGRP-ACADEMY",
        "enumeration_date": "2006-09-20",
        "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": "2003349",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USAF CADET CLN PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Usaf Academy, CO

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.