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355TH MEDGRP-DAVIS-MONTHAN
NPI 1366856155
Military/U.S. Coast Guard Pharmacy in Davis Monthan Afb, AZ

Active since June 19, 2014
5405 E GRANITE ST, BLDG # 2527 ROOM # 127, DAVIS MONTHAN AFB, AZ 85707(520) 228-1924(520) 228-2853 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2025, Nov 20, 2023, Apr 7, 2021 (3 updates tracked since 2021).

About 355th Medgrp-davis-monthan NPPES

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

355TH MEDGRP-DAVIS-MONTHAN (NPI 1366856155), doing business as Dod Davis Monthan Pharmacy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Davis Monthan Afb, Arizona and active in the NPI registry since June 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1366856155
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name355TH MEDGRP-DAVIS-MONTHAN
Location Address5405 E GRANITE ST, BLDG # 2527 ROOM # 127Davis Monthan Afb, AZ 85707-3004
Mailing Address355th Medical Group-davis Monthan Afb Hospital C/o Staf, 4175 S. Alamo Ave.Dm Afb, AZ 85707 · (520) 228-1924 · Fax (520) 228-2853
Phone(520) 228-1924
Fax(520) 228-2853
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJune 19, 2014
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1366856155 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.
5405 E GRANITE ST, Davis Monthan Afb, AZ 85707
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Other Names 1

Doing Business AsDod Davis Monthan Pharmacy

Other Identifiers 1

Other2146402Pk

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 ›

Other Providers at the Same Location NPPES 5

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

NATIONAL VISION, INC.
Optometrist
5405 E GRANITE ST
TUCSON, AZ 85707
Pima County (520) 745-5669
NATIONWIDE OPTOMETRY P.C.
Optometrist (Corneal and Contact Management)
5405 E GRANITE ST, BLDG. 2527
DAVIS MONTHAN AFB, AZ 85707
Pima County (520) 745-5669
PETER LANGENFELD OD PC
Optometrist
5405 E GRANITE ST, DMAFB BX BLDG 2527
TUCSON, AZ 85707
Pima County (520) 514-2029
USV OPTICAL INC.
Eyewear Supplier
5405 E GRANITE ST, BLDG. 2527
DAVIS MONTHAN AFB, AZ 85707
Pima County (520) 745-5669
SUNLAND OPTICAL CO., INC.
Eyewear Supplier
5405 E GRANITE ST, BLDG. 2527
TUCSON, AZ 85707
Pima County (520) 745-5669

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 355th Medgrp-Davis-Monthan's NPI number?

The NPI number for 355th Medgrp-Davis-Monthan is 1366856155. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider is doing business as Dod Davis Monthan Pharmacy.

Where is 355th Medgrp-Davis-Monthan located?

355th Medgrp-Davis-Monthan is located at 5405 E Granite St Bldg # 2527 Room # 127, Davis Monthan Afb, AZ 85707. The listed phone number is (520) 228-1924.

What is 355th Medgrp-Davis-Monthan's specialty?

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

What insurance does 355th Medgrp-Davis-Monthan 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 355th Medgrp-Davis-Monthan 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 355th Medgrp-Davis-Monthan was last updated on June 13, 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.