NPIMap

Organization Active NPI

42D Medgrp-Maxwell

  • Military/U.S. Coast Guard Pharmacy
  • Maxwell Afb, AL
National Provider Identifier
1487053435
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
42D MEDGRP-MAXWELL
Doing business as
DoD MAXWELL ePhcy
Practice address
300 Twining St
Maxwell Afb, AL 36112-6027
Phone
(334) 953-9333
Fax
(334) 953-5272
NPI assigned
Aug 15, 2014
Organization subpart
Yes
Parent organization
42D MEDGRP-MAXWELLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hector Morales
Title
Dha Pod
Phone
(210) 536-6118

Specialties & licenses 2

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

Addresses

Primary practice location

300 Twining St
Maxwell Afb, AL 36112-6027

Mailing address

Usaf-Maxwell Hospital/SGL
300 South Twining St. BLDG. 760
Maxwell Afb, AL 36112-0000
Phone (334) 953-9333

Other identifiers 1

IdentifierTypeStateIssuer
2147340OtherPK

Other names 1

  • DoD MAXWELL ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
42D Medgrp-Maxwell4 organizations share this tax ID, including this one
Part of
42D Medgrp-Maxwell

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1487053435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USAF-MAXWELL HOSPITAL/SGL",
            "address_2": "300 SOUTH TWINING ST. BLDG. 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361120000",
            "telephone_number": "334-953-9333",
            "fax_number": "334-953-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWINING ST",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "334-953-9333",
            "fax_number": "334-953-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "42D MEDGRP-MAXWELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "42D MEDGRP-MAXWELL",
        "enumeration_date": "2014-08-15",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "DHA POD",
        "authorized_official_telephone_number": "210-536-6118"
    },
    "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": "2147340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD MAXWELL ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maxwell Afb, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.