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PETERSON PHARMACY
NPI 1548369259
Military/U.S. Coast Guard Pharmacy in Peterson Afb, CO

Active since September 21, 2006
559 VINCENT ST, PETERSON AFB, CO 80914(719) 333-2273(719) 556-1106 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Pharmacy NPPES

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

PETERSON PHARMACY (NPI 1548369259) is a healthcare organization registered as a military/u.s. coast guard pharmacy in Peterson Afb, Colorado and active in the NPI registry since September 2006. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1548369259
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name21ST MEDICAL GROUP
Location Address559 VINCENT STPeterson Afb, CO 80914-1541
Mailing Address559 Vincent StPeterson Afb, CO 80914-1541 · (719) 333-2273 · Fax (719) 556-1106
Phone(719) 333-2273
Fax(719) 556-1106
Organization SubpartNo
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 13, 2016
✔ NPI 1548369259 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
559 VINCENT ST, Peterson Afb, CO 80914
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Other Names 1

Doing Business AsPeterson Pharmacy

Other Identifiers 1

Other2003352Pk

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.

KRYSTIN HUST DPT
Physical Therapist
559 VINCENT ST
PETERSON AFB, CO 80914
El Paso County (719) 524-2273
JAMES NEAL SUTHERLAND DDS
Dentist
559 VINCENT ST
PETERSON AFB, CO 80914
El Paso County (719) 556-1060
WAYNE ERWIN GRABOW DENTIST DDS
Dentist
559 VINCENT ST, 21 DS/SGGD-DENTAL CLINIC
PETERSON AFB, CO 80914
El Paso County (719) 556-1333
MICHELLE MONTGOMERY WHNP
Nurse Practitioner (Women's Health)
559 VINCENT ST, FAMILY PRACTICE CLINIC
PETERSON AFB, CO 80914
El Paso County (719) 556-1080
MEREDITH L FAAS LCSW
Social Worker (Clinical)
559 VINCENT ST
COLORADO SPRINGS, CO 80914
El Paso County (719) 357-8957
MR. RYAN S OGILVY MSW, LCSW
Social Worker (Clinical)
559 VINCENT ST, ATTN: 21MDOS/SGOW- MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 556-7804
ALICIA TERESA ROZYCKI PH.D.
Psychologist (Counseling)
559 VINCENT ST, ATTN: 21 MDS - SGOF
PETERSON AFB, CO 80914
El Paso County (719) 567-4489
DR. LOUIS A PAGANO JR. PH.D.
Psychologist (Counseling)
559 VINCENT ST, ATTN: 21 MDS/SGOW-MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 526-8873

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 Medical Group's NPI number?

The NPI number for 21st Medical Group is 1548369259. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Peterson Pharmacy.

Where is 21st Medical Group located?

21st Medical Group is located at 559 Vincent St, Peterson Afb, CO 80914. The listed phone number is (719) 333-2273.

What is 21st Medical Group's specialty?

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

What insurance does 21st Medical Group accept?

Health plans from Medica list 21st Medical Group 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 Medical Group was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.