27th Special Ops Medgrp-cannon
Military/U.S. Coast Guard Outpatient
208 W Casablanca Ave, 27 Mdss Sgsr, Cannon Afb
New Mexico, 88103-5009
505-784-4023 505-784-7749
27th Special Ops Medgrp-cannon is a Military/U.S. Coast Guard Outpatient in Cannon Afb, New Mexico. This organization is also known as sub part of 27th Special Ops Medgrp-cannon. It is located at 208 W Casablanca Ave, 27 Mdss Sgsr, Cannon Afb and it's customer support contact number is 505-784-4023. The authorized person of 27th Special Ops Medgrp-cannon is Jen Lewandowski who is Dha Ubo of the pharmacy and his contact number is 703-817-4030.
27th Special Ops Medgrp-cannon 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:
27th Special Ops Medgrp-cannon 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: | 27th Special Ops Medgrp-cannon |
| Type: | Military/U.S. Coast Guard Outpatient |
| Location: | 208 W Casablanca Ave, 27 Mdss Sgsr, Cannon Afb,
New Mexico, 88103-5009 |
| Phone: | 505-784-4023 |
| Fax: | 505-784-7749 |
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: | 1285606384 |
| Parent Organization: | 27th Special Ops Medgrp-cannon |
| NPI Enumeration Date: | 02 Feb, 2006 |
| 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 27th Special Ops Medgrp-cannon are as mentioned below.
| Specialization | License Number | State | Status | |
| Military/U.S. Coast Guard Outpatient | | | Primary | |
| Military/u.s. Coast Guard Pharmacy | | | Secondary | |
| Military and U.S. Coast Guard Ambulatory Procedure | | | 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 |
| 3210185 | Other | New Mexico | 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: | 208 W Casablanca Ave, 27 Mdss Sgsr
Cannon Afb, New Mexico |
| Zip: | 88103-5009 |
| Phone Number: | 505-784-4023 |
| Fax Number: | 505-784-7749 |
Patients can reach 27th Special Ops Medgrp-cannon at
208 W Casablanca Ave, 27 Mdss Sgsr, Cannon Afb, New Mexico or can
call on customer care at 505-784-4023.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.