49TH Medgrp-Holloman

Primary specialty

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

Legal business name

49TH MEDGRP-HOLLOMAN

Doing business as

DoD HOLLOMAN ePhcy

Practice address

280 1St St BLDG 15
Holloman AFB, NM 88330-8273

Phone

(575) 572-0524

Fax

(575) 572-5781

NPI assigned

Jun 19, 2014

Last updated

Jul 3, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

49TH MEDGRP-HOLLOMANAs 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 HOLLOMAN ePhcy Doing business as

Tax ID family

49TH Medgrp-Holloman2 organizations share this tax ID, including this one

Part of

49TH Medgrp-Holloman

Other organizations with this tax ID 1

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

• 49TH Medgrp-Holloman

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Holloman AFB, NM
  • NPI 1952374910
  NPD tax ID

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1356755185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49TH MEDICAL GROUP BALDWIN HERMAN S II",
            "address_2": "280 1ST STREET",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-0524",
            "fax_number": "575-572-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 1ST ST BLDG 15",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-0524",
            "fax_number": "575-572-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "49TH MEDGRP-HOLLOMAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "49TH MEDGRP-HOLLOMAN",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "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": "2146416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD HOLLOMAN ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 49TH Medgrp-Holloman
• Parker Lewis Aldredge, DMD
• Steve Lawrence Alger, D.D.S.
• Adam James Allen, PA-C
• Samuel Brefo Ankamah, LMSW

• Military/U.S. Coast Guard Pharmacy in Holloman AFB, NM
• Providers in Holloman AFB, NM by specialty
• Military/U.S. Coast Guard Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.