21st Medgrp-peterson
Military/U.S. Coast Guard Outpatient
559 Vincent St, Peterson Afb
Colorado, 80914-1541
719-556-1250 21st Medgrp-peterson is a Military/U.S. Coast Guard Outpatient in Peterson Afb, Colorado. This organization is also known as sub part of 21st Medgrp-peterson. It is located at 559 Vincent St, Peterson Afb and it's customer support contact number is 719-556-1250. The authorized person of 21st Medgrp-peterson is Jen Lewandowski who is Dha Ubo of the pharmacy and his contact number is 703-817-4030.
21st Medgrp-peterson is the Defense Health Program or U.S. Coast Guard funded “fixed” facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A “fixed” facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the “fixed” facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Pharmacy Details:
21st Medgrp-peterson type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 21st Medgrp-peterson |
| Type: | Military/U.S. Coast Guard Outpatient |
| Location: | 559 Vincent St, Peterson Afb,
Colorado, 80914-1541 |
| Phone: | 719-556-1250 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jen Lewandowski |
| Position: | Dha Ubo |
| Contact Number: | 703-817-4030 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1942286224 |
| Parent Organization: | 21st Medgrp-peterson |
| NPI Enumeration Date: | 19 Dec, 2005 |
| NPI Last Update On: | 17 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 21st Medgrp-peterson are as mentioned below.
| Specialization | License Number | State | Status | |
| Military/U.S. Coast Guard Outpatient | | | Primary | |
| Military and U.S. Coast Guard Ambulatory Procedure | | | Secondary | |
| Military/u.s. Coast Guard Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1548369259 | Other | Colorado | Nppes |
| 06-16788 | Other | Colorado | Ncpdp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 559 Vincent St,
Peterson Afb, Colorado |
| Zip: | 80914-1541 |
| Phone Number: | 719-556-1250 |
Patients can reach 21st Medgrp-peterson at
559 Vincent St, Peterson Afb, Colorado or can
call on customer care at 719-556-1250.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.