Active NPI
87TH Medgrp-JB McGuire-Dix-Lakehurst
- Military/U.S. Coast Guard Pharmacy
- Joint Base MDL, NJ
National Provider Identifier
1427465889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Pharmacy
- Legal business name
- 87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
- Practice address
- 3458 Neely Rd
Joint Base MDL, NJ 08641-5312 - Phone
- (609) 754-9464
- Fax
- (609) 754-9133
- NPI assigned
- Jul 17, 2014
- Organization subpart
- Yes
- Parent organization
- 87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | Primary | ||
| Pharmacy | 333600000X |
Addresses
Primary practice location
3458 Neely Rd
Joint Base MDL, NJ 08641-5312
Mailing address
87TH Medical Group C/O Resource Management Office
3548 Neely Rd.
Joint Base MDL, NJ 08641
Phone (609) 754-9464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146901 | Other | PK |
Other names 1
- DoD MCGUIRE ePhcy
National Provider Directory
National Provider Directory- Tax ID family
- 87TH Medgrp-JB McGuire-Dix-Lakehurst
- Part of
- 87TH Medgrp-JB McGuire-Dix-Lakehurst
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- MC Guire Afb, NJ
- NPI 1881650141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1427465889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87TH MEDICAL GROUP C/O RESOURCE MANAGEMENT OFFICE",
"address_2": "3548 NEELY RD.",
"city": "JOINT BASE MDL",
"state": "NJ",
"postal_code": "08641",
"telephone_number": "609-754-9464",
"fax_number": "609-754-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "JOINT BASE MDL",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "609-754-9464",
"fax_number": "609-754-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST",
"enumeration_date": "2014-07-17",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"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
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146901",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DoD MCGUIRE ePhcy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Joint Base MDL, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.