Organization Active NPI

82D Medgrp-Sheppard

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Sheppard Afb, TX
National Provider Identifier
1851376248
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
82D MEDGRP-SHEPPARD
Practice address
527 Tuskegee Airmen
BLDG 500
Sheppard Afb, TX 76311
Phone
(940) 676-3388
NPI assigned
Dec 8, 2005
Organization subpart
Yes
Parent organization
82D MEDGRP-SHEPPARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jen Lewandowski
Title
Dha Ubo
Phone
(703) 817-4030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X
Military/U.S. Coast Guard Pharmacy 332000000X

Addresses

Primary practice location

527 Tuskegee Airmen
BLDG 500
Sheppard Afb, TX 76311

Mailing address

527 Tuskegee Airmen
BLDG 500
Sheppard Afb, TX 76311

Other identifiers 1

IdentifierTypeStateIssuer
4510699OtherTXNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Dod Sheppard Afb Pharmacy2 organizations share this tax ID, including this one
Part of
Dod Sheppard Afb Pharmacy

Other organizations with this tax ID 1

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

Locations

149 Hart St
Ste 1
Sheppard AFB, TX 76311

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1851376248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMEN",
            "address_2": "BLDG 500",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "76311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMEN",
            "address_2": "BLDG 500",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "940-676-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "82D MEDGRP-SHEPPARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "82D MEDGRP-SHEPPARD",
        "enumeration_date": "2005-12-08",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DHA UBO",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4510699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheppard Afb, TX

Sources for this page

  • 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.