NPIMap

Organization Active NPI

59TH MDW-Whasc-Lackland

  • Military/U.S. Coast Guard Pharmacy
  • San Antonio, TX
National Provider Identifier
1184122749
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 BULVERDE ePHCY
Practice address
25615 North 281
Suite 215
San Antonio, TX 78258
Phone
(210) 292-7970
Fax
(210) 292-8000
NPI assigned
Jan 30, 2018
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 of the Pass
Phone
(210) 536-6650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

25615 North 281
Suite 215
San Antonio, TX 78258

Mailing address

25615 North 281
Suite 215
San Antonio, TX 78258
Phone (210) 292-0121

Other identifiers 1

IdentifierTypeStateIssuer
2175752OtherPK

Other names 1

  • DoD BULVERDE 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

25615 US Highway 281 N
Ste 215
San Antonio, TX 78258
Phone (210) 292-2453

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1184122749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25615 NORTH 281",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-292-0121",
            "fax_number": "210-292-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25615 NORTH 281",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-292-7970",
            "fax_number": "210-292-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "59TH MDW-WHASC-LACKLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "59TH MDW-WHASC-LACKLAND",
        "enumeration_date": "2018-01-30",
        "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 OF THE 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
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD BULVERDE ePHCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DoD BULVERDE ePHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, 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.