MT HOME OP PHCY
NPI 1811094667
Military/U.S. Coast Guard Pharmacy in Mountain Home Afb, ID

Active since September 20, 2006
90 HOPE DR, BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7480(208) 828-3785 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mt Home Op Phcy NPPES

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

MT HOME OP PHCY (NPI 1811094667) is a healthcare organization registered as a military/u.s. coast guard pharmacy in Mountain Home Afb, Idaho and active in the NPI registry since September 2006. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1811094667
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name366TH MEDICAL GROUP SGSL
Location Address90 HOPE DR, BLDG 6000Mountain Home Afb, ID 83648-1057
Mailing Address90 Hope Dr, Bldg 6000Mountain Home Afb, ID 83648-1057 · (208) 828-7480 · Fax (208) 828-3785
Fax(208) 828-3785
Organization SubpartNo
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 8, 2016
NPI 1811094667 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
90 HOPE DR, Mountain Home Afb, ID 83648

Other Names 1

Doing Business AsMt Home Op Phcy

Other Identifiers 1

Other2021727Pk

Accepted 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.

Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR, 366TH MEDICAL GROUP
MOUNTAIN HOME AFB, ID 83648
Social Worker (Clinical)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Nurse Practitioner (Women's Health)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Family Medicine
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Counselor
90 HOPE DR, 366 MEDGRP (ACC)/FAMILY ADVOCACY
MOUNTAIN HOME A F B, ID 83648
Optometrist
90 HOPE DR, OPTOMETRY CLINIC
MOUNTAIN HOME A F B, ID 83648
Obstetrics & Gynecology
90 HOPE DR, 366 MEDICAL GROUP, WOMEN'S HEALTH
MOUNTAIN HOME A F B, ID 83648

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 366th Medical Group Sgsl's NPI number?

The NPI number for 366th Medical Group Sgsl is 1811094667. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Mt Home Op Phcy.

Where is 366th Medical Group Sgsl located?

366th Medical Group Sgsl is located at 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7480.

What is 366th Medical Group Sgsl's specialty?

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

What insurance does 366th Medical Group Sgsl accept?

Health plans from Medica list 366th Medical Group Sgsl 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 366th Medical Group Sgsl was last updated on February 8, 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.