Department of the Air Force 72D Medical Group

Primary specialty

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

Legal business name

DEPARTMENT OF THE AIR FORCE 72D MEDICAL GROUP

Doing business as

DoD TINKER ePhcy

Practice address

7050 Air Depot Blvd
Tinker Afb, OK 73145-8716

Phone

(405) 582-6315

Fax

(405) 736-2890

NPI assigned

Jun 26, 2014

Reactivated

Aug 9, 2025

Organization subpart

No

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 TINKER ePhcy Doing business as

Tax ID family

72D Medgrp-Tinker2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 72D Medgrp-Tinker

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Tinker Afb, OK
  • NPI 1285618363
  NPD tax ID

Practitioners 1

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

• Shannon Dawn Brewer, DOCTOR OF PHARMACY

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tinker Afb, OK
  • NPI 1851581425
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1568877702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF THE AIR FORCE 72D MEDICAL GROUP",
            "address_2": "5700 ARNOLD ST",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458105",
            "telephone_number": "405-736-2890",
            "fax_number": "405-582-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 AIR DEPOT BLVD",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458716",
            "telephone_number": "405-582-6315",
            "fax_number": "405-736-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF THE AIR FORCE 72D MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-08-09",
        "certification_date": "2023-04-26",
        "deactivation_date": "2023-04-26",
        "reactivation_date": "2025-08-09",
        "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": "2146555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD TINKER ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Cook
• Yamily Cruz Soto, IDMT
• Ernest L Dabreo, D.D.S., M.S.D.
• Charlotte Yvonne Davis, R. PH.
• Dentrust Oklahoma, PC
• James Neal Dillard III, PA-C
• Robert Christopher Dunn, MD
• Stephen Ryan Emmerthal
• Peter Mitchell Estrada, DAT, LAT, ATC, BCS-O
• George Leonard Ettel III, DO

• Military/U.S. Coast Guard Pharmacy in Tinker Afb, OK
• Providers in Tinker Afb, OK by specialty
• Military/U.S. Coast Guard Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.