Active NPI
325TH Medgrp-Tyndall
- Military/U.S. Coast Guard Pharmacy
- Tyndall Afb, FL
National Provider Identifier
1962801928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Pharmacy
- Legal business name
- 325TH MEDGRP-TYNDALL
- Doing business as
- DoD TYNDALL ePhcy
- Practice address
- 340 Magnolia Cir
Tyndall Afb, FL 32403-5604 - Phone
- (850) 283-7557
- Fax
- (850) 283-7013
- NPI assigned
- Aug 15, 2014
- Organization subpart
- Yes
- Parent organization
- 325TH MEDGRP-TYNDALL
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | Primary |
Addresses
Primary practice location
340 Magnolia Cir
Tyndall Afb, FL 32403-5604
Mailing address
325TH Medical Group
340 Magnolia Circle
Tyndall Afb, FL 32403
Phone (850) 283-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147341 | Other | PK |
Other names 1
- DoD TYNDALL ePhcy
National Provider Directory
National Provider Directory- Tax ID family
- 325 MDG
- Part of
- 325 MDG
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Tyndall Afb, FL
- NPI 1568436962
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Panama City, FL
- NPI 1063484707
-
- Clinic/Center
- Tyndall a F B, FL
- NPI 1487628384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1962801928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325TH MEDICAL GROUP",
"address_2": "340 MAGNOLIA CIRCLE",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "32403",
"telephone_number": "850-283-7557",
"fax_number": "850-283-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAGNOLIA CIR",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "324035604",
"telephone_number": "850-283-7557",
"fax_number": "850-283-7013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "325TH MEDGRP-TYNDALL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "325TH MEDGRP-TYNDALL",
"enumeration_date": "2014-08-15",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"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": "2147341",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DoD TYNDALL ePhcy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tyndall Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.