Organization Active NPI

71St Medgrp-Vance

Doing business as DoD VANCE ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Enid, OK
National Provider Identifier
1962818336
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
71ST MEDGRP-VANCE
Doing business as
DoD VANCE ePhcy
Practice address
527 Gott Rd
Enid, OK 73705-5103
Phone
(580) 213-7455
Fax
(580) 213-2169
NPI assigned
Jul 7, 2014
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
71ST MEDGRP-VANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Addresses

Primary practice location

527 Gott Rd
Enid, OK 73705-5103

Mailing address

71 MDG MDSS SGSR C/O 71 MDG MDSS SGSR
527 Gott Rd
Enid, OK 73705
Phone (580) 213-7455

Other names 1

  • DoD VANCE ePhcy Doing business as

National Provider Directory

National Provider Directory
Part of
71St Medgrp-Vance

Locations

527 Gott Rd
Enid, OK 73705
Phone (580) 213-7909

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DoD VANCE ePhcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • 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.