OrganizationActive
99th Medgrp-Nellis
NPI 1942616057 · Military/U.S. Coast Guard Pharmacy · Nellis Afb, NV
Provider details
- NPI number
- 1942616057
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 99th Medgrp-Nellis
- Organization subpart
- Yes
- Authorized official
- Hector Morales, Chief Dha Pass(210) 536-6650
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
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
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (702) 653-2747
Fax: (702) 653-2755
Street-level locationGet directions
Mailing address
Mike Ocallaghan Federal Hospital C/O Frances Bantugan
Nellis Afb, NV 89191
Other names (DBA / former)
- Doing business as
- Dod Nellis Ephcy
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.