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412TH MEDGRP-EDWARDS
NPI 1548673163
Military/U.S. Coast Guard Pharmacy in Edwards Afb, CA

Active since June 11, 2014
30 NIGHTINGALE RD, BLDG 5525, EDWARDS AFB, CA 93524(661) 277-2052(661) 277-8284 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2025, Jan 7, 2021 (2 updates tracked since 2021).

About 412th Medgrp-edwards NPPES

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

412TH MEDGRP-EDWARDS (NPI 1548673163), doing business as Dod Edwards Pharmacy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Edwards Afb, California and active in the NPI registry since June 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1548673163
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name412TH MEDGRP-EDWARDS
Location Address30 NIGHTINGALE RD, BLDG 5525Edwards Afb, CA 93524-1730
Mailing Address95 Th Medical Group Sgsr, 30 Nightingale Rd. Bldg 5525Edwards Afb, CA 93524-0001 · (661) 277-2052 · Fax (661) 277-8284
Phone(661) 277-2052
Fax(661) 277-8284
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJune 11, 2014
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1548673163 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.
30 NIGHTINGALE RD, Edwards Afb, CA 93524
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Other Names 1

Doing Business AsDod Edwards Pharmacy

Other Identifiers 1

Other2146265Pk

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 13

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

PIOTR WOJCIECH PODLESNY M.D.
Family Medicine
30 NIGHTINGALE RD, 412MDOS/SGOP FAMILY HEALTH CLINIC
EDWARDS AFB, CA 93524
Kern County (661) 277-1172
JOEL DAVID REYES PA-C
Physician Assistant
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Kern County (661) 277-8130
SCOTT ANTHONY BAKER PHARMD
Pharmacist
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Kern County (661) 277-2052
CYNTHIA F SIQUEIROS
Physician Assistant
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Kern County (661) 277-7118
MS. DAWN MICHAELA MORALES NP
Nurse Practitioner (Women's Health)
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Kern County (661) 277-7118
JOSEPHINE NGUYEN
Dentist
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Kern County (661) 277-2872
RACHEL DALE LMSW
Social Worker (Clinical)
30 NIGHTINGALE RD
EDWARDS, CA 93524
Kern County (661) 277-5291
ANDREW WARREN DO
Pediatrics
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Kern County (661) 277-7118

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 412th Medgrp-Edwards's NPI number?

The NPI number for 412th Medgrp-Edwards is 1548673163. It was assigned to this organization in the NPPES registry on June 11, 2014. The provider is doing business as Dod Edwards Pharmacy.

Where is 412th Medgrp-Edwards located?

412th Medgrp-Edwards is located at 30 Nightingale Rd Bldg 5525, Edwards Afb, CA 93524. The listed phone number is (661) 277-2052.

What is 412th Medgrp-Edwards's specialty?

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

What insurance does 412th Medgrp-Edwards 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 412th Medgrp-Edwards 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 412th Medgrp-Edwards was last updated on June 12, 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.