Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

27th Special Ops Medgrp-Cannon

Organization Military/U.S. Coast Guard Pharmacy · NPI 1417356072

27th Special Ops Medgrp-Cannon is a Military/U.S. Coast Guard Pharmacy in Cannon AFB, New Mexico. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

224 W D L Ingram Blvd Bldg 1408
Cannon AFB, NM 88103-5103
Phone: (575) 784-4912
Fax: (575) 784-7494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military/U.S. Coast Guard Pharmacy (primary) Taxonomy 332000000X

Record details

NPI number1417356072
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization27th Special Ops Medgrp-Cannon
Authorized official Hector Morales — Chief Dha Pass · (210) 536-6650
Other names Dod Cannon Ephcy
NPI enumeratedAugust 20, 2014
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address27th Medical Group Sgsl, 208 W. D.L. Ingram Blvd. 1st Floor, Cannon Afb, NM 88103