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ALTUS PHCY 97TH MDG
NPI 1336246180
Military/U.S. Coast Guard Pharmacy in Altus Afb, OK

Active since September 20, 2006
301 N 1ST ST, ALTUS AFB, OK 73523(580) 481-5258(580) 481-7420 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2017, Jan 26, 2016 (2 updates tracked since 2016).

About Altus Phcy 97th Mdg NPPES

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

ALTUS PHCY 97TH MDG (NPI 1336246180) is a healthcare organization registered as a military/u.s. coast guard pharmacy in Altus Afb, Oklahoma and active in the NPI registry since September 2006. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1336246180
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business NameALTUS PHCY 97TH MDG
Location Address301 N 1ST STAltus Afb, OK 73523-5004
Mailing Address301 N 1st StAltus Afb, OK 73523-5004 · (580) 481-5258 · Fax (580) 481-7420
Phone(580) 481-5258
Fax(580) 481-7420
Organization SubpartNo
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 27, 20172 updates tracked since enumeration
✔ NPI 1336246180 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
301 N 1ST ST, Altus Afb, OK 73523
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Other Names 1

Doing Business AsAltus Phcy 97th Mdg

Other Identifiers 1

Other2074861Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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.

DR. ALEXANDRA E HERNANDEZ DDS
Dentist
301 N 1ST ST
ALTUS, OK 73523
Jackson County (580) 481-5262
SUNNYE ELIZABETH COPE LCSW
Social Worker (Clinical)
301 N 1ST ST
ALTUS AFB, OK 73523
Jackson County (580) 481-5376
CHRISTOPHER LILLENBERG DDS
Dentist
301 N 1ST ST
ALTUS AFB, OK 73523
Jackson County (580) 481-5262
DR. KATELIN ELISE THAI D.O.
Preventive Medicine (Occupational Medicine)
301 N 1ST ST
ALTUS AFB, OK 73523
Jackson County (580) 481-5433
DR. STEVEN EDWARD KOEHL D.O.
Psychiatry & Neurology (Psychiatry)
301 N 1ST ST
ALTUS, OK 73523
Jackson County (580) 481-5062
97TH MEDGRP-ALTUS
Clinic/Center (Military/U.S. Coast Guard Outpatient)
301 N 1ST ST, BLDG 46
ALTUS AFB, OK 73523
Jackson County (580) 481-5400
CHANDA TE'NEIL MIRANDA RN, BSN
Registered Nurse (Ambulatory Care)
301 N 1ST ST
ALTUS AFB, OK 73523
Jackson County (580) 481-5086
ISAAC YOURISON
Family Medicine
301 N 1ST ST
ALTUS, OK 73523
Jackson County (580) 481-5180

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 Altus Phcy 97th Mdg's NPI number?

The NPI number for Altus Phcy 97th Mdg is 1336246180. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Altus Phcy 97th Mdg located?

Altus Phcy 97th Mdg is located at 301 N 1st St, Altus Afb, OK 73523. The listed phone number is (580) 481-5258.

What is Altus Phcy 97th Mdg's specialty?

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

What insurance does Altus Phcy 97th Mdg accept?

Health plans from Medica list Altus Phcy 97th Mdg 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 Altus Phcy 97th Mdg was last updated on February 27, 2017. 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.