71St Medgrp-Vance

Primary specialty

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

Legal business name

71ST MEDGRP-VANCE

Practice address

527 Gott Rd
Enid, OK 73705-5103

Phone

(580) 213-7455

Fax

(580) 213-2169

NPI assigned

Jul 7, 2014

Organization subpart

Yes

Parent organization

71ST MEDGRP-VANCEAs 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 VANCE ePhcy Doing business as

Part of

71St Medgrp-Vance

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1962818336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MDG MDSS SGSR C/O 71 MDG MDSS SGSR",
            "address_2": "527 GOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73705",
            "telephone_number": "580-213-7455",
            "fax_number": "580-213-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 GOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737055103",
            "telephone_number": "580-213-7455",
            "fax_number": "580-213-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "71ST MEDGRP-VANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "71ST MEDGRP-VANCE",
        "enumeration_date": "2014-07-07",
        "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": "2146676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD VANCE ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Military/U.S. Coast Guard Pharmacy in Enid, OK
• Providers in Enid, OK by specialty
• Military/U.S. Coast Guard Pharmacy in Oklahoma

• 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.