1ST MEDICAL GROUP SGSL


Address: 65 Spaatz Dr, Langley Afb, VA 23665-2027
Phone: 7577646700

1ST MEDICAL GROUP SGSL (NPI# 1659470771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659470771
Entity Type Organization
Organization Name 1ST MEDICAL GROUP SGSL
Other Organization Name LANGLEY CALL IN PHCY
Practice Address 65 Spaatz Dr
Langley Afb
VA 23665-2027
Practice Telephone 7577646700
Practice Fax Number 7577646396
Mailing Telephone 7577646700
Mailing Fax Number 7577646396
Enumeration Date 2006-09-22
Last Update Date 2016-03-28
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2104702 01

Other Provider/Organization Names

Other Name Type Code
LANGLEY CALL IN PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568561603 1st Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 45 Pine St Bldg 257, Langley Afb, VA 23665-2025 2006-09-22
1568561686 1st Medical Group Sgsl Pharmacy 77 Nealy Ave, Bldg 257, Langley Afb, VA 23665-2040 2006-09-22

Office Location

Street Address 65 SPAATZ DR
City LANGLEY AFB
State VA
Zip Code 23665-2027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982228938 Mai Stern Student in an Organized Health Care Education/Training Program Langley Afb Dental Clinic, Hampton, VA 23665 2020-06-05
1386273449 Nicholas Thomas Nelson Military Health Care Provider 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 2020-04-02
1316574809 Kimberly C Easterling Student in an Organized Health Care Education/Training Program 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 2020-03-24
1851950026 Erin Leigh Baldridge Dentist Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 2019-06-11
1669950739 Anthony Interrante IIi Nurse Practitioner Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 2018-08-01
1588189310 Stacey Marie Jackson Psychologist 11 Nealy Blvd, Hampton, VA 23665 2017-08-14
1285062216 Michael John Vietti Physician Assistant 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 2013-10-30
1396182234 Micaela Jane Dagucon General Practice 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 2013-06-02
1912212051 Michele Leigh Shirley Pharmacist 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 2010-08-13
1497915219 Stephen Warren Porter Dentist 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 2008-06-16
Find all providers in zip 23665

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568561603 1st Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 45 Pine St Bldg 257, Langley Afb, VA 23665-2025 2006-09-22
1609859891 633d Medical Group Military/U.S. Coast Guard Pharmacy 77 Nealy Ave, Langley Afb, VA 23665-2040 2005-11-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174172183 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 2019-09-11
1114403961 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 7021 Harbor View Blvd, Suffolk, VA 23435-2869 2018-07-16
1437563269 Fort Belvoir Community Hospital Military/U.S. Coast Guard Pharmacy 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 2014-06-19
1508270950 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 2014-06-13
1205249059 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 2014-06-10
1467680819 World Class Marketing Inc Military/U.S. Coast Guard Pharmacy 1814 Kecoughtan Rd, Suite B, Hampton, VA 23661-2834 2009-06-24
1609966936 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 2006-10-16
1982703013 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg 3219, Ft Lee, VA 23801 2006-09-22
1922107044 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg P8130, Ft Lee, VA 23801 2006-09-22
1740389865 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 2006-09-22
Find all providers with the same taxonomy

Competitor

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City LANGLEY AFB
Zip Code 23665

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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