NPIMap

Organization Active NPI

21St Medgrp-Peterson

Doing business as DoD SCHRIEVER ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Schriever AFB, CO
National Provider Identifier
1487069621
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
21ST MEDGRP-PETERSON
Doing business as
DoD SCHRIEVER ePhcy
Practice address
220 Falcon Pkwy
Schriever AFB, CO 80912-5005
Phone
(719) 567-4423
Fax
(719) 567-4817
NPI assigned
Jun 26, 2014
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
21ST MEDGRP-PETERSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary

Addresses

Primary practice location

220 Falcon Pkwy
Schriever AFB, CO 80912-5005

Mailing address

21St Medical Group C/O Rmo Office
559 Vincent St
Peterson AFB, CO 80914-1541
Phone (719) 567-4423

Other identifiers 1

IdentifierTypeStateIssuer
2146548OtherPK

Other names 1

  • DoD SCHRIEVER ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
21St Medgrp-Peterson6 organizations share this tax ID, including this one
Part of
21St Medgrp-Peterson

Other organizations with this tax ID 5

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1487069621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21ST MEDICAL GROUP C/O RMO OFFICE",
            "address_2": "559 VINCENT ST",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-567-4423",
            "fax_number": "719-567-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FALCON PKWY",
            "city": "SCHRIEVER AFB",
            "state": "CO",
            "postal_code": "809125005",
            "telephone_number": "719-567-4423",
            "fax_number": "719-567-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST MEDGRP-PETERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "21ST MEDGRP-PETERSON",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "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": "2146548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD SCHRIEVER ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schriever AFB, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.