375TH Medgrp-Scott

Primary specialty

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

Legal business name

375TH MEDGRP-SCOTT

Practice address

310 W Losey St
Scott Afb, IL 62225-5250

Phone

(618) 256-7335

Fax

(618) 256-7133

NPI assigned

Jun 26, 2014

Organization subpart

Yes

Parent organization

375TH MEDGRP-SCOTTAs 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 SCOTT ePhcy Doing business as

Tax ID family

375TH Medgrp-Scott3 organizations share this tax ID, including this one

Part of

375TH Medgrp-Scott

Other organizations with this tax ID 2

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

• 375TH Medgrp-Scott

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Scott Afb, IL
  • NPI 1851373161
  NPD tax ID
• 375TH Medgrp-Scott

  • Military Hospital
  • Scott Afb, IL
  • NPI 1861478448
  NPD tax ID

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1790190940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375TH MEDICAL GROUP SCOTT AFB",
            "address_2": "310 W. LOSEY ST.",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255250",
            "telephone_number": "618-256-7335",
            "fax_number": "618-256-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LOSEY ST",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255250",
            "telephone_number": "618-256-7335",
            "fax_number": "618-256-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "375TH MEDGRP-SCOTT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "375TH MEDGRP-SCOTT",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "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": "2146550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD SCOTT ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 375TH Medgrp-Scott
• 375TH Medgrp-Scott
• Hattie D Alexander, D.O.
• Nicole Andreoli, MT(ASCP)
• Kristine Eva Andrews, M.D.

• All providers in Scott Afb, IL
• Military/U.S. Coast Guard Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.