56TH MEDGRP-LUKE NPI 1043627631

NPI Information

  • NPI: 1043627631
  • Provider Name: 56TH MEDGRP-LUKE
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • :
  • Address: 7219 N LITCHFIELD RD BLDG 1130
    LUKE AFB, AZ
    ZIP 85309
  • Phone: (623) 856-3934

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NPI Details

56TH MEDGRP-LUKE is a military us coast guard pharmacy in Luke Afb, AZ. 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. 56TH MEDGRP-LUKE NPI is 1043627631. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

7219 N LITCHFIELD RD BLDG 1130
LUKE AFB, AZ
ZIP 85309-529
Phone: (623) 856-3934
Fax: (623) 856-3616

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 7/16/2014 and was last updated on 6/13/2025.

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
12146879OTHERPK

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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