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

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: July 19, 2026.

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

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
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

Other Names 1

Doing Business AsDod Charleston Afb Pharmacy

Other Identifiers 1

Other2146517Pk

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114332368, enumerated as an "organization" on June 26, 2014.

The provider is located at 204 W HILL BLVD BLDG 364 CHARLESTON AFB, SC 29404 and the phone number is (843) 963-6805.

Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.