NPIMap

Organization Active NPI

59TH MDW-Whasc-Lackland

  • Military/U.S. Coast Guard Pharmacy
  • Randolph Afb, TX
National Provider Identifier
1861800567
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
59TH MDW-WHASC-LACKLAND
Doing business as
DoD RANDOLPH BX ePhcy
Practice address
221 3Rd St W BLDG 1040
Randolph Afb, TX 78150-4800
Phone
(210) 652-4189
Fax
(210) 652-3516
NPI assigned
Jul 25, 2014
Organization subpart
Yes
Parent organization
59TH MDW-WHASC-LACKLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary

Addresses

Primary practice location

221 3Rd St W BLDG 1040
Randolph Afb, TX 78150-4800

Mailing address

359 Medical Group C/O 359 MDSS Resource Management Offi
221 3Rd St. W
Randolph Afb, TX 78150
Phone (210) 652-4189

Other identifiers 1

IdentifierTypeStateIssuer
2147027OtherPK

Other names 1

  • DoD RANDOLPH BX ePhcy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilford Hall Medical Center4 organizations share this tax ID, including this one
Part of
Wilford Hall Medical Center

Other organizations with this tax ID 3

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

Locations

221 3rd St W
Bldg 1040
Universal City, TX 78150
Phone (210) 652-6403

221 3rd St W
Universal City, TX 78150
Phone (210) 652-1846

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1861800567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 MEDICAL GROUP C/O 359 MDSS RESOURCE MANAGEMENT OFFI",
            "address_2": "221 3RD ST. W",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "78150",
            "telephone_number": "210-652-4189",
            "fax_number": "210-652-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 3RD ST W BLDG 1040",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "781504800",
            "telephone_number": "210-652-4189",
            "fax_number": "210-652-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "59TH MDW-WHASC-LACKLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "59TH MDW-WHASC-LACKLAND",
        "enumeration_date": "2014-07-25",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD RANDOLPH BX ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph Afb, TX

Sources for this page

  • 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.