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21ST MEDGRP-PETERSON
NPI 1487069621
Military/U.S. Coast Guard Pharmacy in Schriever Afb, CO

Active since June 26, 2014
220 FALCON PKWY, SCHRIEVER AFB, CO 80912(719) 567-4423(719) 567-4817 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, Jan 15, 2016 (2 updates tracked since 2016).

About 21st Medgrp-peterson NPPES

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

21ST MEDGRP-PETERSON (NPI 1487069621), doing business as Dod Schriever Ephcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Schriever Afb, Colorado and active in the NPI registry since June 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1487069621
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name21ST MEDGRP-PETERSON
Location Address220 FALCON PKWYSchriever Afb, CO 80912-5005
Mailing Address21st Medical Group C/o Rmo Office, 559 Vincent StPeterson Afb, CO 80914-1541 · (719) 567-4423 · Fax (719) 567-4817
Phone(719) 567-4423
Fax(719) 567-4817
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJune 26, 2014
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1487069621 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.
220 FALCON PKWY, Schriever Afb, CO 80912
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Other Names 1

Doing Business AsDod Schriever Ephcy

Other Identifiers 1

Other2146548Pk

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 7

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

SARAH MOSES PSYD
Psychologist (Clinical)
220 FALCON PKWY
SCHRIEVER AFB, CO 80912
El Paso County (312) 285-4468
JESSICA ELIZABETH KNIZEL CRNP
Nurse Practitioner (Family)
220 FALCON PKWY
COLORADO SPRINGS, CO 80912
El Paso County (719) 567-1314
CARISSA MICHELLE MAGUIRE DDS
Dentist (General Practice)
220 FALCON PKWY
COLORADO SPRINGS, CO 80912
El Paso County (719) 556-5898
DR. ALEXANDER DAVID SCHLOE MD
Family Medicine
220 FALCON PKWY
COLORADO SPRINGS, CO 80912
El Paso County (719) 567-5536
BRYNN SKINNER PA-C
Physician Assistant
220 FALCON PKWY
COLORADO SPRINGS, CO 80912
El Paso County (719) 567-5536
JOANNA JAMINSKA DMD
Dentist (General Practice)
220 FALCON PKWY, SCHRIEVER SFB
SCHRIEVER SFB, CO 80912
El Paso County (719) 567-5467
MR. JASON LEE BAKER PA-C
Physician Assistant
220 FALCON PKWY
SCHRIEVER AFB, CO 80912
El Paso County (719) 567-5536

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 21st Medgrp-Peterson's NPI number?

The NPI number for 21st Medgrp-Peterson is 1487069621. It was assigned to this organization in the NPPES registry on June 26, 2014. The provider is doing business as DoD SCHRIEVER ePhcy.

Where is 21st Medgrp-Peterson located?

21st Medgrp-Peterson is located at 220 Falcon Pkwy, Schriever Afb, CO 80912. The listed phone number is (719) 567-4423.

What is 21st Medgrp-Peterson's specialty?

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

What insurance does 21st Medgrp-Peterson 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 21st Medgrp-Peterson 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 21st Medgrp-Peterson was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.