CMS-1500 Box 24J / 33a • NPI
1255430302
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332000000X
Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy
Box 32 Service Location & ZIP+4
330 S TWINING ST BLDG 760, MAXWELL AFB, AL, 36112
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255430302 (42ND MEDICAL GROUP SGSL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1255430302 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 42ND MEDICAL GROUP SGSL |
| Plain-English Specialty | Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy NUCC Code: 332000000X (MilitaryU.S. Coast Guard Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 330 S TWINING ST BLDG 760, MAXWELL AFB, AL, 36112 |
| Practice Telephone / Fax | Tel: (334) 953-6868 |
| Administrative Mailing Address | 330 S TWINING ST BLDG 760, MAXWELL AFB, AL, 36112 |
| Enumeration & Last Sync | Enumerated: 2006-09-22 | CMS Record Updated: 2016-10-05 |
| Authorized Official | HECTOR MORALES (Chief DHA PASS) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (332000000X)
What Does Taxonomy Code 332000000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332000000X translates to:
"Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (42ND MEDICAL GROUP SGSL)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
333600000X — PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy | State: N/A | License: Verified | Primary: Secondary |
332000000X — MilitaryU.S. Coast Guard PharmacyPlain English: Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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