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99TH MEDGRP-NELLIS
NPI 1942616057
Military/U.S. Coast Guard Pharmacy in Nellis Afb, NV

Active since July 09, 2014
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2747(702) 653-2755 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, Feb 9, 2016 (2 updates tracked since 2016).

About 99th Medgrp-nellis NPPES

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

99TH MEDGRP-NELLIS (NPI 1942616057), doing business as Dod Nellis Ephcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Nellis Afb, Nevada and active in the NPI registry since July 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1942616057
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name99TH MEDGRP-NELLIS
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing AddressMike Ocallaghan Federal Hospital C/o Frances Bantugan, 4700 Las Vegas Blvd N.Nellis Afb, NV 89191 · (702) 653-2747 · Fax (702) 653-2755
Phone(702) 653-2747
Fax(702) 653-2755
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateJuly 9, 2014
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1942616057 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
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191
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Other Names 1

Doing Business AsDod Nellis Ephcy

Other Identifiers 1

Other2146757Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.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.

DR. DEBRA A KOENIGSBERGER MD
Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2267
KATRINA BAUMANN DPT
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
SOUKAINA NOOR MD
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
EDWARD KEMPTON MD
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
DR. AARON JOSEPH WOLBRUECK DO
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
MARIA M ARAQUE PHARMD
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3202
DR. SHUBHANG N MAZUMDAR M.D.
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3800
CYNTHIA SCHMIDT PH.D.
Psychologist (Clinical)
4700 LAS VEGAS BLVD N, ATTN: CREDENTIALS OFFICE
NELLIS AFB, NV 89191
Clark County (702) 653-3067

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 99th Medgrp-Nellis's NPI number?

The NPI number for 99th Medgrp-Nellis is 1942616057. It was assigned to this organization in the NPPES registry on July 9, 2014. The provider is doing business as DoD NELLIS ePhcy.

Where is 99th Medgrp-Nellis located?

99th Medgrp-Nellis is located at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2747.

What is 99th Medgrp-Nellis's specialty?

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

What insurance does 99th Medgrp-Nellis accept?

Health plans from Alliant Health Plans, Inc., Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list 99th Medgrp-Nellis 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 99th Medgrp-Nellis 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.