VANDENBERG PHCY
NPI 1679670434
Military/U.S. Coast Guard Pharmacy in Vandenberg Afb, CA

NPI Status: Active since September 20, 2006

Contact Information

338 S DAKOTA AVE
BLDG 13850
VANDENBERG AFB, CA
ZIP 93437
Phone: (805) 606-7440
Fax: (805) 734-9842

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

About VANDENBERG PHCY

This page provides the complete NPI Profile along with additional information for Vandenberg Phcy, a provider established in Vandenberg Afb, California operating as a Military/u.s. Coast Guard Pharmacy. The healthcare provider is registered in the NPI registry with number 1679670434 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 Vandenberg Phcy. The authorized official of this NPI record is Hector Morales (Chief Dha Pass)

NPI
1679670434
Provider Legal Name
30 MEDICAL GROUP/SGSL
Other Organization Name
VANDENBERG PHCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
338 S DAKOTA AVE BLDG 13850 VANDENBERG AFB, CA 93437
Location Phone
(805) 606-7440
Location Fax
(805) 734-9842
Mailing Address
338 S DAKOTA AVE BLDG 13850 VANDENBERG AFB, CA 93437
Mailing Phone
(805) 606-7440
Mailing Fax
(805) 734-9842
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
01-22-2016
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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 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
  • 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
2115792OTHER (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.
1679670434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149127046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 2 + 7 + 0 + 4 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1679670434 is valid because the calculated check digit 4 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
1760477384DR. LORIE LEE CHAN DDS
Individual
Dentist338 S DAKOTA AVE STE 1-1300
VANDENBERG AFB, CA 93437
(323) 788-6953
1417929613DR. ARTHUR DWAYNE KISBY PHARMD
Individual
Pharmacist338 S DAKOTA AVE 30TH MEDICAL GROUP
VANDENBERG AFB, CA 93437
(805) 606-1819
1356377527 ANDERSON ROWAN PHD
Individual
Psychologist (Clinical)338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-8217
1356371603MR. PETER DANIEL REINHARDT
Individual
Occupational Therapist338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
(805) 606-2221
1245262864DR. ALAN JON NAPOLES D.D.S.
Individual
Dentist (General Practice)338 S DAKOTA AVE STE 1-1300
VANDENBERG AFB, CA 93437
(805) 606-1846
1215944814DR. WILLIAM FRANCIS JENNINGS DMD
Individual
Dentist (General Practice)338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-3278
1124038534HEALTH AND WELLNESS CENTER
Organization
Military Hospital338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-2221
1083707780DR. JARED ALAN DETTER PSYD
Individual
Psychologist338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-8217
1235391582MRS. MELINDA SUE REED RD, CDE
Individual
Dietitian, Registered338 S DAKOTA AVE BLDG 13848
VANDENBERG AFB, CA 93437
(805) 606-2221
1619362126MR. DEVIN CHARLES CASTER
Individual
Dentist338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-1846
1750714168 MELINDA HUNT BOYD PA-C
Individual
Physician Assistant338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-1601
1104005206 BENJAMIN PAUL CRANDALL
Individual
Pharmacist338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-7440
1821072794DR. DAVID BRUCE KIESER D.D.S.
Individual
Dentist338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 605-4085
1376743419 ZOE V. COLGAN ED.D. LCSW
Individual
Social Worker (Clinical)338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-8217
1962726240DR. JENNIFER H HARRIS PSY.D.
Individual
Psychologist (Clinical)338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-6117
1932524360MRS. FELIPA ALCOREZA DACANAY MS.ED., MSW, LISW-S
Individual
Social Worker (Clinical)338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-8217
1396031506DR. TODD DOUGLAS CHURCH DMD
Individual
Dentist (General Practice)338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-1846
1114203510DR. EVELYN WANG O.D.
Individual
Optometrist338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 606-7962
1528191996 AARON J BILOW RPH
Individual
Pharmacist338 S DAKOTA AVE 30 MDSS SGSD
VANDENBERG AFB, CA 93437
(805) 606-5688
1093099327 CHRISTIANE MARIE TRIGUEROS D.M.D.
Individual
Dentist338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
(805) 605-4085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679670434, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 338 S Dakota Ave Bldg 13850 Vandenberg Afb, Ca 93437 and the phone number is (805) 606-7440

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 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.