19TH MEDGRP-LITTLE ROCK – NPI #1841606936
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.

19TH MEDGRP-LITTLE ROCK is a pharmacy located in LITTLE ROCK AFB, AR. NPPES has assigned the NPI number 1841606936 to 19TH MEDGRP-LITTLE ROCK on July 09, 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 Sep 19, 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 19TH MEDGRP-LITTLE ROCK below.

NPI Profile for
19TH MEDGRP-LITTLE ROCK

NPI Number
1841606936
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
19TH MEDGRP-LITTLE ROCK
Primary location
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099-4933
Phone: (501) 987-7446 Fax: (501) 987-8786
Mailing address
19TH MDSS SGSR C/O MARTHA BLAND
1090 ARNOLD DR.
LR AFB, AR 72099-4933
Phone: (501) 987-7446 Fax: (501) 987-7605
Organization Subpart
Yes - 19TH MEDGRP-LITTLE ROCK is subpart of another organization.
Authorized Official
HECTOR MORALES
CHIEF DHA PASS
Phone: (210) 536-6650
Updated
Certification Date
May 29, 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 19TH MEDGRP-LITTLE ROCK

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
otherPK2146756
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.