OrganizationActive
59th Mdw-Whasc-Lackland
NPI 1861800567 · Military/U.S. Coast Guard Pharmacy · Randolph Afb, TX
Provider details
- NPI number
- 1861800567
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 59th Mdw-Whasc-Lackland
- Organization subpart
- Yes
- Authorized official
- Hector Morales, Dha Pod(210) 536-6118
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
221 3rd St W Bldg 1040
Randolph Afb, TX 78150-4800
Phone: (210) 652-4189
Fax: (210) 652-3516
Approximate (ZIP-level) locationGet directions
Mailing address
359 Medical Group C/O 359 Mdss Resource Management Offi
Randolph Afb, TX 78150
Other names (DBA / former)
- Doing business as
- Dod Randolph Bx Ephcy
Registry dates
- Enumerated
- 2014-07-25
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.