436TH MEDGRP-DOVER — NPI 1740692433 (Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy in DOVER AFB, DE)

CMS-1500 Box 24J / 33a • NPI

1740692433

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

300 TUSKEGEE BLVD, DOVER AFB, DE, 19902-5003

✓ 9-Digit EDI 837 ZIP+4 (19902-5003)

Practice Phone & Referral Fax

(302) 677-2019

Fax: (302) 677-4030

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740692433 (436TH MEDGRP-DOVER) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740692433` (NPI-2 Organization / Facility)
Provider / Legal Name	436TH MEDGRP-DOVER
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	300 TUSKEGEE BLVD, DOVER AFB, DE, 19902-5003
Practice Telephone / Fax	Tel: (302) 677-2019 \| Fax: (302) 677-4030
Administrative Mailing Address	436 MEDICAL GRP HEALTH CARE C/O DONALD COLE, DOVER, DE, 19901
Enumeration & Last Sync	Enumerated: 2014-05-29 \| CMS Record Updated: 2025-05-30
Authorized Official	HECTOR MORALES (Chief DHA PASS)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

300 TUSKEGEE BLVD, DOVER AFB, DE, 19902-5003

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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"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified MilitaryU.S. Coast Guard Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (436TH MEDGRP-DOVER)

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

Common Therapeutic Classes:

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
`332000000X` — MilitaryU.S. Coast Guard Pharmacy Plain 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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436TH MEDGRP-DOVER (NPI #1740692433)