628TH MEDGRP-CHARLESTON
NPI 1114332368
Military/U.S. Coast Guard Pharmacy in Charleston Afb, SC

Q: What is 628th Medgrp-Charleston's NPI number?

The NPI number for 628th Medgrp-Charleston is 1114332368. It was assigned to this organization in the NPPES registry on June 26, 2014. The provider is doing business as Dod Charleston Afb Pharmacy.

Q: What is 628th Medgrp-Charleston's specialty?

The primary specialty registered for this NPI is Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

Active since June 26, 2014

204 W HILL BLVD BLDG 364, CHARLESTON AFB, SC 29404(843) 963-6805(843) 963-6727 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Jan 7, 2021 (2 updates tracked since 2021).

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About 628th Medgrp-charleston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

628TH MEDGRP-CHARLESTON (NPI 1114332368), doing business as Dod Charleston Afb Pharmacy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Charleston Afb, South Carolina and active in the NPI registry since June 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1114332368

Entity TypeOrganization

Primary Taxonomy332000000X

Legal Business Name628TH MEDGRP-CHARLESTON

Location Address204 W HILL BLVD BLDG 364Charleston Afb, SC 29404-4704

Mailing Address628 Medical Group C/o Rmo Office, 204 W. Hill Blvd. Bldg 364Charleston Afb, SC 29404-4704 · (843) 963-6805 · Fax (843) 963-6727

Phone(843) 963-6805

Fax(843) 963-6727

Organization SubpartYes

Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650

Enumeration DateJune 26, 2014

Last NPPES UpdateMay 30, 20252 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1114332368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary/U.S. Coast Guard PharmacySuppliers

Taxonomy Code332000000X

Definition

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.

204 W HILL BLVD BLDG 364, Charleston Afb, SC 29404

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Other Names 1

Doing Business AsDod Charleston Afb Pharmacy

Other Identifiers 1

Other2146517Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 628th Medgrp-Charleston's NPI number?

The NPI number for 628th Medgrp-Charleston is 1114332368. It was assigned to this organization in the NPPES registry on June 26, 2014. The provider is doing business as Dod Charleston Afb Pharmacy.

Where is 628th Medgrp-Charleston located?

628th Medgrp-Charleston is located at 204 W Hill Blvd Bldg 364, Charleston Afb, SC 29404. The listed phone number is (843) 963-6805.

What is 628th Medgrp-Charleston's specialty?

The primary specialty registered for this NPI is Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

What insurance does 628th Medgrp-Charleston accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 27 other insurers list 628th Medgrp-Charleston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 628th Medgrp-Charleston was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.