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

99th Medgrp-Nellis

Organization Military/U.S. Coast Guard Pharmacy · NPI 1942616057

99th Medgrp-Nellis is a Military/U.S. Coast Guard Pharmacy in Nellis AFB, Nevada. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2747
Fax: (702) 653-2755
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
Pharmacy Taxonomy 333600000X

Record details

NPI number1942616057
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization99th Medgrp-Nellis
Authorized official Hector Morales — Chief Dha Pass · (210) 536-6650
Other names Dod Nellis Ephcy
NPI enumeratedJuly 9, 2014
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing addressMike Ocallaghan Federal Hospital C/O Frances Bantugan, 4700 Las Vegas Blvd N., Nellis Afb, NV 89191