66TH Medsq-Hanscom

Primary specialty

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

Legal business name

66TH MEDSQ-HANSCOM

Doing business as

Dod Hanscom Pharmacy

Practice address

90 Vandenberg Dr BLDG 1900
Hanscom AFB, MA 01731-2104

Phone

(781) 225-6173

Fax

(781) 225-2577

NPI assigned

Jun 19, 2014

Last updated

Jun 17, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

66TH MEDSQ-HANSCOMAs 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 HANSCOM PHARMACY Doing business as

Tax ID family

66TH Medsq-Hanscom2 organizations share this tax ID, including this one

Part of

66TH Medsq-Hanscom

Other organizations with this tax ID 1

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

• 66TH Medsq-Hanscom

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Hanscom AFB, MA
  • NPI 1508831553
  NPD tax ID

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1649684473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MDSS-SGSR C/O TRAVIS J. INGRODI",
            "address_2": "90 VANDENBERG DR. BLDG 1900",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6173",
            "fax_number": "781-225-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR BLDG 1900",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6173",
            "fax_number": "781-225-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "66TH MEDSQ-HANSCOM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "66TH MEDSQ-HANSCOM",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD HANSCOM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 66TH Medsq-Hanscom
• Georgette Abboud, FNP-C
• Eric An, PHD
• Elizabeth Anderson, R-DMT, RYT
• Courtney J. Arrington, M.D.
• Jemma Ayvazian, N.P.

• Military/U.S. Coast Guard Pharmacy in Hanscom AFB, MA
• Providers in Hanscom AFB, MA by specialty
• Military/U.S. Coast Guard Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.