NPI age
7 years
Enumerated 2018-06-20
● Active Type 2 · Organization
Subpart
59th Mdw-Whasc-Lackland
59th Mdw-Whasc-Lackland is 1 of 52 military/u.s. coast guard pharmacy organizations in Texas.
Primary specialty
Military/U.S. Coast Guard Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
De La Cruz
Mtf Support
Last NPPES update
2025-06-13
Source: monthly bulk 2026-05
How this organization compares
Across 52 active military/u.s. coast guard pharmacy providers in Texas.
NPI age
7 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1940 Carswell Ave, Bldg 7002
Lackland, TX 78236
Mailing address
1940 Carswell Ave, Bldg 7002
Lackland, TX 78236
Authorized official
Cynthia De La Cruz
Mtf Support
📞 2105366650
Specialties
-
Military/U.S. Coast Guard Pharmacy PrimaryA 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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
DOD REID ePhcy
-
DOD REID ePhcy
Practice context
Single-site organization. Only one practice location on file.
Subpart of 59th Mdw-Whasc-Lackland.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.