Active NPI
2D Medgrp-Barksdale
Doing business as Barksdale Refill Phcy
- Military/U.S. Coast Guard Pharmacy
- Barksdale AFB, LA
National Provider Identifier
1467551093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Pharmacy
- Legal business name
- 2D MEDGRP-BARKSDALE
- Doing business as
- Barksdale Refill Phcy
- Practice address
- BLDG 4709
Barksdale AFB, LA 71110 - Phone
- (318) 456-8348
- Fax
- (318) 456-7244
- NPI assigned
- Sep 21, 2006
- Last updated
- Jun 12, 2025
- Organization subpart
- Yes
- Parent organization
- 2D MEDGRP-BARKSDALE
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | NU | Primary |
Addresses
Primary practice location
BLDG 4709
Barksdale AFB, LA 71110
Mailing address
2MDSS SGSB
243 Curtiss Rd Ste 100
Barksdale AFB, LA 71110-2425
Phone (318) 456-8483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034575 | Other | PK |
Other names 1
- BARKSDALE REFILL PHCY
National Provider Directory
National Provider Directory- Tax ID family
- Barksdale Air Force Base
- Part of
- Barksdale Air Force Base
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barksdale AFB, LA
- NPI 1851715122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1467551093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2MDSS SGSB",
"address_2": "243 CURTISS RD STE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-8483",
"fax_number": "318-456-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 4709",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "71110",
"telephone_number": "318-456-8348",
"fax_number": "318-456-7244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "2D MEDGRP-BARKSDALE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "2D MEDGRP-BARKSDALE",
"enumeration_date": "2006-09-21",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2034575",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BARKSDALE REFILL PHCY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barksdale AFB, LA
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.