Organization · Type 2 NPI
21st Medgrp-Peterson
Military/U.S. Coast Guard Pharmacy · Schriever Afb, CO
Practice location
220 Falcon Pkwy
Schriever Afb, CO 80912-5005
Fax (719) 567-4817
Mailing address
21st Medical Group C/o Rmo Office, 559 Vincent St
Peterson Afb, CO 80914-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Pharmacy Primary | 332000000X | None listed |
Military/U.S. Coast Guard Pharmacy: A 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 DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
7 other providers at this address
- Alexander David Schloe, MDFamily Medicine Physician Colorado Springs, CO NPI 1639674906
- Brynn Skinner, PA-CPhysician Assistant Colorado Springs, CO NPI 1700450780
- Carissa Michelle Maguire, DDSGeneral Practice Dentistry Colorado Springs, CO NPI 1588893424
- Jason Lee Baker, PA-CPhysician Assistant Schriever Afb, CO NPI 1912152562
- Jessica Elizabeth Knizel, CRNPFamily Nurse Practitioner Colorado Springs, CO NPI 1417324310
- Joanna Jaminska, DMDGeneral Practice Dentistry Schriever Sfb, CO NPI 1740492768
- Sarah Moses, PSYDClinical Psychologist Schriever Afb, CO NPI 1396208484
About NPI 1487069621
21st Medgrp-Peterson's National Provider Identifier is 1487069621, issued on Jun 26, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Schriever Afb, CO. The record was last updated on Jun 13, 2025.