460TH Medgrp-Buckley

Primary specialty

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

Legal business name

460TH MEDGRP-BUCKLEY

Doing business as

DOD BUCKLEY PHARMACY

Practice address

317 N Telluride St
Buckley Afb, CO 80011-7809

Phone

(720) 847-6049

Fax

(720) 847-5289

NPI assigned

Jun 9, 2014

Organization subpart

Yes

Parent organization

460TH MEDGRP-BUCKLEYAs 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

• DOD BUCKLEY PHARMACY Doing business as

Tax ID family

460TH Medgrp-Buckley2 organizations share this tax ID, including this one

Part of

460TH Medgrp-Buckley

Other organizations with this tax ID 1

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

• 460TH Medgrp-Buckley

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Aurora, CO
  • NPI 1174507420
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dylan Joseph Adams, RPH

  • Pharmacist
  • Aurora, CO
  • NPI 1114508843
  NPD
• Francisco Boral, PHARMD

  • Pharmacist
  • Aurora, CO
  • NPI 1215181359
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1265845036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MILITARY TREATMENT FACILITY C/O MRS. ORA DEE CARTWRIGHT",
            "address_2": "275 S. ASPEN ST. STOP 89",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "720-847-6049",
            "fax_number": "720-847-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N TELLURIDE ST",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800117809",
            "telephone_number": "720-847-6049",
            "fax_number": "720-847-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "460TH MEDGRP-BUCKLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "460TH MEDGRP-BUCKLEY",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "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": "2145979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD BUCKLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 460TH Medical Logistics WHS
• Kelsey Alayne Ambler, WHNP-BC
• Gabrielle Quirao Aragon, FNP
• Amit Bhardwaj, MD
• Elizabeth Ann Brock, WHNP

• Military/U.S. Coast Guard Pharmacy in Buckley Afb, CO
• Providers in Buckley Afb, CO by specialty
• Military/U.S. Coast Guard Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.