366TH MEDGRP-MOUNTAIN HOME
NPI 1144636515
Military/U.S. Coast Guard Pharmacy in Mountain Home Afb, ID

Q: What is 366th Medgrp-Mountain Home's NPI number?

The NPI number for 366th Medgrp-Mountain Home is 1144636515. It was assigned to this organization in the NPPES registry on July 7, 2014. The provider is doing business as DoD MT HOME ePhcy.

Q: What is 366th Medgrp-Mountain Home's specialty?

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

Active since July 07, 2014

90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7521(208) 828-7676 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Feb 9, 2016 (2 updates tracked since 2016).

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About 366th Medgrp-mountain Home NPPES

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

366TH MEDGRP-MOUNTAIN HOME (NPI 1144636515), doing business as Dod Mt Home Ephcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Mountain Home Afb, Idaho and active in the NPI registry since July 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1144636515

Entity TypeOrganization

Primary Taxonomy332000000X

Legal Business Name366TH MEDGRP-MOUNTAIN HOME

Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062

Mailing Address366 Medical Group Sgsbf, 90 Hope Dr. Bldg. 6000Mtn Home Afb, ID 83648-1062 · (208) 828-7521 · Fax (208) 828-7676

Phone(208) 828-7521

Fax(208) 828-7676

Organization SubpartYes

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

Enumeration DateJuly 7, 2014

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1144636515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacyTaxonomy 333600000X

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648

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Other Names 1

Doing Business AsDod Mt Home Ephcy

Other Identifiers 1

Other2146667Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON L WILSON LCSW

Social Worker (Clinical)