Active NPI
82D Medgrp-Sheppard
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Sheppard Afb, TX
National Provider Identifier
1851376248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- 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-SHEPPARD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4510699 | Other | TX | NCPDP |
National Provider Directory
National Provider Directory- Tax ID family
- Dod Sheppard Afb Pharmacy
- 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.
-
- Military/U.S. Coast Guard Pharmacy
- Sheppard Air Force Base, TX
- NPI 1902211147
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.