OrganizationActive
21 Medical Group
NPI 1669579413 · Military/U.S. Coast Guard Pharmacy · Usaf Academy, CO
Provider details
- NPI number
- 1669579413
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hector Morales, Chief Dha Pass(210) 536-6650
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8119 Park Dr
Usaf Academy, CO 80840-2397
Phone: (719) 333-0545
Fax: (719) 333-0544
Street-level locationGet directions
Mailing address
8119 Park Dr
Usaf Academy, CO 80840-2397
Other names (DBA / former)
- Doing business as
- Peterson Afb Refill Processing Ctr
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2016-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.