88TH Medgrp-Wright-Patterson

Primary specialty

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

Legal business name

88TH MEDGRP-WRIGHT-PATTERSON

Doing business as

Dod Wright Patterson Kittyhawk Pharmacy

Practice address

2130 Sycamore St Ste 1
Wright Patterson AFB, OH 45433-5461

Phone

(937) 656-1656

Fax

(937) 656-1136

NPI assigned

Jul 31, 2014

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

88TH MEDGRP-WRIGHT-PATTERSONAs 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 WRIGHT PATTERSON KITTYHAWK PHARMACY Doing business as

Tax ID family

88TH Medgrp-Wright-Patterson3 organizations share this tax ID, including this one

Part of

88TH Medgrp-Wright-Patterson

Other organizations with this tax ID 2

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

• 88TH Medgrp-Wright-Patterson

  • Psychiatric Hospital Unit
  • Wpafb, OH
  • NPI 1124206594
  NPD tax ID
• 88TH Medgrp-Wright-Patterson

  • Military General Acute Care Hospital
  • Wright Patterson, OH
  • NPI 1275568909
  NPD tax ID

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1497163679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WRIGHT-PATTERSON MEDICAL CENTER",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WRIGHT PAT",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-656-1656",
            "fax_number": "937-656-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SYCAMORE ST STE 1",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335461",
            "telephone_number": "937-656-1656",
            "fax_number": "937-656-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "88TH MEDGRP-WRIGHT-PATTERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "88TH MEDGRP-WRIGHT-PATTERSON",
        "enumeration_date": "2014-07-31",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD WRIGHT PATTERSON KITTYHAWK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candace A Adedokun, MD
• Julie Lynn Airhart, CPN, CNS
• Olivia N Akah, PHARMD
• Hassan Al-Shammaa
• Mark Christopher Albright, CRNA

• Military/U.S. Coast Guard Pharmacy in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Military/U.S. Coast Guard Pharmacy in Ohio

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

Verify at the official NPI Registry.