42D MEDGRP-MAXWELL – NPI #1487053435
Military/U.S. Coast Guard Pharmacy

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.

42D MEDGRP-MAXWELL is a pharmacy located in MAXWELL AFB, AL. NPPES has assigned the NPI number 1487053435 to 42D MEDGRP-MAXWELL on August 15, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332000000X from the Health Care Provider Taxonomy code set, which is classified as Military/U.S. Coast Guard Pharmacy.

The NPI profile was last updated on Jul 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 42D MEDGRP-MAXWELL below.

NPI Profile for
42D MEDGRP-MAXWELL

NPI Number
1487053435
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
42D MEDGRP-MAXWELL
Primary location
300 TWINING ST
MAXWELL AFB, AL 36112-6027
Phone: (334) 953-9333 Fax: (334) 953-5272
Mailing address
USAF-MAXWELL HOSPITAL/SGL
300 SOUTH TWINING ST. BLDG. 760
MAXWELL AFB, AL 36112-0000
Phone: (334) 953-9333 Fax: (334) 953-5272
Organization Subpart
Yes - 42D MEDGRP-MAXWELL is subpart of another organization.
Authorized Official
HECTOR MORALES
DHA POD
Phone: (210) 536-6118
Updated
Certification Date
Jul 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for 42D MEDGRP-MAXWELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPK2147340
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332000000X
- Military/U.S. Coast Guard Pharmacy (Primary)
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.