60TH MEDGRP-TRAVIS NPI 1043622681

NPI Information

  • NPI: 1043622681
  • Provider Name: 60TH MEDGRP-TRAVIS
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • :
  • Address: 461 SKYMASTER CIR RM 149
    TRAVIS AFB, CA
    ZIP 94535
  • Phone: (707) 423-5345

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NPI Details

60TH MEDGRP-TRAVIS is a military us coast guard pharmacy in Travis Afb, CA. The provider is a Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. 60TH MEDGRP-TRAVIS NPI is 1043622681. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

461 SKYMASTER CIR RM 149
TRAVIS AFB, CA
ZIP 94535-909
Phone: (707) 423-5345
Fax: (707) 423-5346

The provider's authorized official is Hector Morales .
The authorized official title is Chief Dha Pass and has the following contact phone number (210) 536-6650.

The enumeration date for this NPI number is 6/2/2014 and was last updated on 3/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12146026OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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