MAXWELL MAIN PHCY42ND MDG
NPI 1255430302
Military/U.S. Coast Guard Pharmacy in Maxwell Afb, AL

Q: What is 42nd Medical Group Sgsl's NPI number?

The NPI number for 42nd Medical Group Sgsl is 1255430302. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Maxwell Main Phcy42nd Mdg.

Q: What is 42nd Medical Group Sgsl's specialty?

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

Active since September 22, 2006

330 S TWINING ST BLDG 760, MAXWELL AFB, AL 36112(334) 953-6868 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maxwell Main Phcy42nd Mdg NPPES

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

MAXWELL MAIN PHCY42ND MDG (NPI 1255430302) is a healthcare organization registered as a military/u.s. coast guard pharmacy in Maxwell Afb, Alabama and active in the NPI registry since September 2006. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1255430302

Entity TypeOrganization

Primary Taxonomy332000000X

Legal Business Name42ND MEDICAL GROUP SGSL

Location Address330 S TWINING ST BLDG 760Maxwell Afb, AL 36112

Mailing Address330 S Twining St Bldg 760Maxwell Afb, AL 36112 · (334) 953-6868

Phone(334) 953-6868

Organization SubpartNo

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

Enumeration DateSeptember 22, 2006

Last NPPES UpdateOctober 5, 2016

✔ NPI 1255430302 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

330 S TWINING ST BLDG 760, Maxwell Afb, AL 36112

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Other Names 1

Doing Business AsMaxwell Main Phcy42nd Mdg

Other Identifiers 1

Other1993811Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 42nd Medical Group Sgsl's NPI number?

The NPI number for 42nd Medical Group Sgsl is 1255430302. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Maxwell Main Phcy42nd Mdg.

Where is 42nd Medical Group Sgsl located?

42nd Medical Group Sgsl is located at 330 S Twining St Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 953-6868.

What is 42nd Medical Group Sgsl's specialty?

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

What insurance does 42nd Medical Group Sgsl accept?

Health plans from Medica list 42nd Medical Group Sgsl 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 42nd Medical Group Sgsl was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.