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Active NPI 1568878676 Organization (Entity Type 2) Subpart Facility

45th Medgrp-Patrick

Military/U.S. Coast Guard Pharmacy • Patrick Afb, FL

Parent Organization: 45th Medgrp-Patrick

About 45th Medgrp-Patrick NPI 1568878676 Summary

45Th Medgrp-Patrick is a verified healthcare organization specializing in Military/U.S. Coast Guard Pharmacy operating in Patrick Afb, FL. Located at 1381 S PATRICK DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1568878676.

45Th Medgrp-Patrick operates as a subpart facility of 45Th Medgrp-Patrick. Administrative operations and authorized compliance are overseen by Hector Morales (Chief Dha Pass).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1381 S Patrick Dr

Patrick Afb, FL 329253606

Telephone 3214943988
Fax 3214947117

Authorized Official Information

Authorized Contact Name

Hector Morales

Title / Role

Chief Dha Pass

Official Telephone

2105366650

Facility Classifications & Specialties

Military/U.S. Coast Guard Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 332000000X

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.

Pharmacy

NUCC Taxonomy Code: 333600000X

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked
David Farrell , PT NPI 1033104096

Physical Therapist

Patrick Afb, FL

View Practitioner Profile →

Dentist

Patrick Afb, FL

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Dr. Minal Desai , MD NPI 1093701450

Internal Medicine

Patrick Afb, FL

View Practitioner Profile →
Zanett Thomas , PA NPI 1104808963

Physician Assistant

Patrick Afb, FL

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Physician Assistant

Patrick Afb, FL

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Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

Patrick Afb, FL

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Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

13 Historical Events
🏛️
Organization / Clinic Name Updated June 11, 2025

Operating as 45TH MEDGRP-PATRICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2025

Pharmacy

NPI Profile Active March 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2017

Registered at 1381 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214943988)

📍
Updated Business Mailing Address March 09, 2017

Registered at 45TH MEDICAL GROUP-SGAM, 1381 S. PATRICK DR., PATRICK AFB, FL 329253606 (Tel: 3214943988)

🏛️
Organization / Clinic Name Updated March 09, 2017

Operating as 45TH MEDICAL GROUP-SGAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2017

Military/U.S. Coast Guard Pharmacy

NPI Profile Active August 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2015

Registered at 1381 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214943988)

📍
Updated Business Mailing Address August 12, 2015

Registered at 45TH MEDICAL GROUP-SGAM, 1381 S. PATRICK DR., PATRICK AFB, FL 329253606 (Tel: 3214943988)

🏛️
Organization / Clinic Name Updated August 12, 2015

Operating as 45TH MEDICAL GROUP-SGAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2015

Military/U.S. Coast Guard Pharmacy

🟢
Initial NPI Registration & Enumeration July 09, 2014

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1568878676
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 09, 2014
Last Update: June 11, 2025

Mailing Address

45th Medical Group-Sgam, 1381 S. Patrick Dr.

Patrick Afb, FL 329253606

Phone: 3214943988

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.