97TH Medgrp-Altus

Primary specialty

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

Legal business name

97TH MEDGRP-ALTUS

Doing business as

DoD ALTUS ePhcy

Practice address

301 N 1St St
BLDG 46
Altus Afb, OK 73523-5004

Phone

(580) 481-5258

Fax

(580) 481-7420

NPI assigned

May 28, 2014

Organization subpart

Yes

Parent organization

97TH MEDGRP-ALTUSAs 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

Dha Pod

Phone

(210) 536-6118

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DoD ALTUS ePhcy Doing business as

Part of

97TH Medgrp-Altus

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1598177370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MDG MSC FUND C/O MSC TREASURER",
            "address_2": "TSG MARIA DELEON 301 N FIRST ST. BLDG 46",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "73523",
            "telephone_number": "580-481-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST",
            "address_2": "BLDG 46",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "735235004",
            "telephone_number": "580-481-5258",
            "fax_number": "580-481-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "97TH MEDGRP-ALTUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "97TH MEDGRP-ALTUS",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "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": "2145934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD ALTUS ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 97TH Medgrp-Altus
• Altus Phcy 97TH MDG
• Tiffany Joyce Brilinski, IDMT
• Christian Aric Carroll
• Sunnye Elizabeth Cope, LCSW
• Katon Rans Harwood, DO

• Military/U.S. Coast Guard Pharmacy in Altus Afb, OK
• Providers in Altus 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 Jul 28, 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.