ALTUS PHCY 97TH MDG
NPI 1336246180
Military/U.S. Coast Guard Pharmacy in Altus Afb, OK

NPI Status: Active since September 20, 2006

Contact Information

301 N 1ST ST
ALTUS AFB, OK
ZIP 73523
Phone: (580) 481-5258
Fax: (580) 481-7420

Get Directions Reviews

  • Organization
  • Military/U.S. Coast Guard Pharmacy
  • Accepts Insurance

About ALTUS PHCY 97TH MDG

This page provides the complete NPI Profile along with additional information for Altus Phcy 97th Mdg, a provider established in Altus Afb, Oklahoma operating as a Military/u.s. Coast Guard Pharmacy. The healthcare provider is registered in the NPI registry with number 1336246180 assigned on September 2006. The practitioner's primary taxonomy code is 332000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Altus Phcy 97th Mdg. The authorized official of this NPI record is Hector Morales (Chief Dha Pass)

NPI
1336246180
Provider Legal Name
ALTUS PHCY 97TH MDG
Other Organization Name
ALTUS PHCY 97TH MDG
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 N 1ST ST ALTUS AFB, OK 73523
Location Phone
(580) 481-5258
Location Fax
(580) 481-7420
Mailing Address
301 N 1ST ST ALTUS AFB, OK 73523
Mailing Phone
(580) 481-5258
Mailing Fax
(580) 481-7420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
02-27-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military/U.S. Coast Guard Pharmacy

Taxonomy Code
332000000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HECTOR MORALES

Authorized Official Title
CHIEF DHA PASS
Authorized Official Phone
(210) 536-6650

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2074861OTHER (01)PK

Reviews for ALTUS PHCY 97TH MDG

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336246180
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23664412116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 4 + 1 + 2 + 1 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336246180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528393626 CHRISTINA S HONG
Individual
Pharmacist301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5015
1306174784DR. NGUYEN T NGUYEN PHARMD
Individual
Pharmacist301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5258
1023324241DR. ALEXANDRA E HERNANDEZ DDS
Individual
Dentist301 N 1ST ST
ALTUS, OK 73523
(580) 481-5262
1336554310DR. JAMES ROBERT CAMPBELL III M.D.
Individual
Pediatrics301 N 1ST ST
ALTUS, OK 73523
(580) 481-7082
1063075414 CHRISTOPHER LILLENBERG DDS
Individual
Dentist301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5262
1427529650MRS. RILEY SOLOMON IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)301 N 1ST ST BLDG 46
ALTUS, OK 73523
(580) 481-5230
1285088930 ISAAC YOURISON
Individual
Family Medicine301 N 1ST ST
ALTUS, OK 73523
(580) 481-5180
1497369193 CHASE LEAVY DPT
Individual
Physical Therapist301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5244
1912350877MRS. SANDRA H STUART MS, RDN, CSSD, LD
Individual
Dietitian, Registered (Nutrition, Sports Dietetics)301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5244
1902508575 ELIZABETH SIOK DMD
Individual
Dentist (General Practice)301 N 1ST ST
ALTUS, OK 73523
(580) 481-5340
1780831537DR. MARILYN THUY LAI O.D.
Individual
Optometrist301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5239
1750083978 KATON RANS HARWOOD DO
Individual
Preventive Medicine (Aerospace Medicine)301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5244
1770283798 SPENCER LANG
Individual
Dentist301 N 1ST ST
ALTUS, OK 73523
(720) 684-7688
1720817778 JULIANNE RODGERS SHYTLE PHARMD
Individual
Pharmacist301 N 1ST ST
ALTUS, OK 73523
(580) 481-5258
1073824421DR. STEVEN EDWARD KOEHL D.O.
Individual
Psychiatry & Neurology (Psychiatry)301 N 1ST ST
ALTUS, OK 73523
(580) 481-5062
1053789875 SUNNYE ELIZABETH COPE LCSW
Individual
Social Worker (Clinical)301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5376
1063894467DR. KATELIN ELISE THAI D.O.
Individual
Preventive Medicine (Occupational Medicine)301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5433
1194511584 CHANDA TE'NEIL MIRANDA RN, BSN
Individual
Registered Nurse (Ambulatory Care)301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5086
1487883526 TIFFANY JOYCE BRILINSKI IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)301 N 1ST ST
ALTUS AFB, OK 73523
(580) 481-5230
109378288097TH MEDGRP-ALTUS
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523
(580) 481-5400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336246180, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 301 N 1st St Altus Afb, Ok 73523 and the phone number is (580) 481-5258

This medical organization specializes in Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Primewell. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.