LUKE ER MOD PHCY
NPI 1487753521
Military/U.S. Coast Guard Pharmacy in Luke Afb, AZ

NPI Status: Active since September 22, 2006

Contact Information

7219 N LITCHFIELD RD
BLDG 1130 RM C04
LUKE AFB, AZ
ZIP 85309
Phone: (623) 856-3068
Fax: (623) 856-6120

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

About LUKE ER MOD PHCY

This page provides the complete NPI Profile along with additional information for Luke Er Mod Phcy, a provider established in Luke Afb, Arizona operating as a Military/u.s. Coast Guard Pharmacy. The healthcare provider is registered in the NPI registry with number 1487753521 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 Luke Er Mod Phcy. The authorized official of this NPI record is Hector Morales (Chief Dha Pass)

NPI
1487753521
Provider Legal Name
56TH MEDICAL GROUP SGSL
Other Organization Name
LUKE ER MOD PHCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7219 N LITCHFIELD RD BLDG 1130 RM C04 LUKE AFB, AZ 85309
Location Phone
(623) 856-3068
Location Fax
(623) 856-6120
Mailing Address
7219 N LITCHFIELD RD BLDG 1130 RM C04 LUKE AFB, AZ 85309
Mailing Phone
(623) 856-3068
Mailing Fax
(623) 856-6120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2006
Last Update Date
03-30-2016
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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.

Insurance Plans Accepted

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

  • Blue Cross Select Gold - PPO
  • Blue Cross Select Silver - PPO
  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Bronze - PPO
  • Blue Standardized Gold - PPO
  • Blue Standardized Silver - PPO
  • Blue Standardized Silver EPO - EPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO

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
1990498OTHER (01)PK

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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.
1487753521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167145654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 5 + 6 + 5 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1487753521 is valid because the calculated check digit 1 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
1487646618DR. RICHARD ALLAN WILLIAMS MD
Individual
Internal Medicine7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-3130
1811989767 MONTE SCOTT WILSON
Individual
Physical Therapist (Orthopedic)7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-9729
1962494773 BRADLEY SCOTT REYMAN PT
Individual
Physical Therapist7219 N LITCHFIELD RD 56TH MDG/MDOS
LUKE AFB, AZ 85309
(623) 856-9094
1699768390 MARY S BALLOGG PHARM D
Individual
Pharmacist7219 N LITCHFIELD RD 56 MDSS
LUKE AFB, AZ 85309
(623) 856-8464
1114915246DR. ROBERT MARK DIXON MD
Individual
Surgery7219 N LITCHFIELD RD 56TH MDOS/SGOSGS
LUKE AFB, AZ 85309
(632) 856-9717
1750366142DR. CHRISTINE R KIELB D.M.D
Individual
Dentist (General Practice)7219 N LITCHFIELD RD
GLENDALE, AZ 85309
(623) 856-7535
1346225141 GRANT C PHILLIPS M.D.
Individual
Family Medicine7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-3279
1174509079DR. STEPHEN EVAN GARNER D.O.
Individual
Orthopaedic Surgery7219 N LITCHFIELD RD DEPT OF ORTHOPEDICS, 56 MEDICAL GROUP, SGOSO
LUKE AFB, AZ 85309
(623) 856-7553
1700863701DR. RICHARD ALAN CLARK MD
Individual
Family Medicine7219 N LITCHFIELD RD
LUKE AFB HOSPITAL, AZ 85309
(623) 856-3763
1356311930DR. ROBERT WILSON DO
Individual
Family Medicine7219 N LITCHFIELD RD LUKE AIR FORCE BASE - FAMILY MEDICINE DEPT
LUKE AFB, AZ 85309
(623) 856-9007
1467410944MR. HYMAN ABRAMCHICK
Individual
Pharmacist7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-3130
1598786600DR. KIMBERLY A WHIPPLE PHARMD
Individual
Pharmacist7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-3682
1659388130 JOSEPH GERARD WEAVER BS PHARMACY
Individual
Pharmacist7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-7104
1487765749DR. DAVID ANDREW DUPONT DDS
Individual
Dentist (General Practice)7219 N LITCHFIELD RD LUKE AFB
LUKE AFB, AZ 85309
(602) 856-7596
1386749497 TAMMY LEE HANCOCK LCSW
Individual
Social Worker (Clinical)7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-7579
1609971274DR. WILLIAM CYRUS STENTZ JR. DDS
Individual
Dentist (Periodontics)7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-3125
1861581803 MICHAEL HAROLD COOTER L.C.S.W.
Individual
Social Worker (Clinical)7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-7579
1851489884MR. JAME H. GAMBLE LCSW
Individual
Social Worker (Clinical)7219 N LITCHFIELD RD BLDG. 317
LUKE AFB, AZ 85309
(623) 856-7579
1639250988 DEBORAH J ROBINSON RD
Individual
Dietitian, Registered7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-3830
1184700064DR. MARGARET GERNER MEIGS PH.D
Individual
Psychologist (Clinical)7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
(623) 856-7579

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487753521, enumerated in the NPI registry as an "organization" on September 22, 2006

The provider is located at 7219 N Litchfield Rd Bldg 1130 Rm C04 Luke Afb, Az 85309 and the phone number is (623) 856-3068

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 Alabama, Blue Cross. 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 22, 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.