EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA
NPI 1154773950
Pharmacy - Community/Retail Pharmacy in Fort Walton Beach, FL

Q: What is Emerald Coast Infectious Diseases Medical Group, PA's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 06, 2016

917 MAR WALT DRIVE, SUITE D, FORT WALTON BEACH, FL 32547(850) 312-3570(850) 312-3090 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Feb 27, 2025, Mar 23, 2023 (3 updates tracked since 2023).

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About Emerald Coast Infectious Diseases Medical Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA (NPI 1154773950), doing business as Synergy Specialty Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Fort Walton Beach, Florida and active in the NPI registry since July 2016. The organization lists Eric Squatrito, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1154773950

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameEMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

Location Address917 MAR WALT DRIVE, SUITE DFort Walton Beach, FL 32547

Mailing Address1620 W. Northwest Hwy, Suite 100Grapevine, TX 76051 · (817) 572-0009 · Fax (817) 572-0221

Phone(850) 312-3570

Fax(850) 312-3090

Organization SubpartYesParent: Emerald Coast Infectious Diseases

Authorized OfficialEric SquatritoVice President Of Operations · (724) 977-8498

Enumeration DateJuly 6, 2016

Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1154773950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License PH30219 (FL)

917 MAR WALT DRIVE, Fort Walton Beach, FL 32547

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Other Names 1

Doing Business AsSynergy Specialty Pharmacy

Other Identifiers 2

Medicaid1165528300FL

Other2160919Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Coast Infectious Diseases Medical Group, PA's NPI number?

The NPI number for Emerald Coast Infectious Diseases Medical Group, PA is 1154773950. It was assigned to this organization in the NPPES registry on July 6, 2016. The provider is doing business as Synergy Specialty Pharmacy.

Where is Emerald Coast Infectious Diseases Medical Group, PA located?

Emerald Coast Infectious Diseases Medical Group, PA is located at 917 Mar Walt Drive Suite D, Fort Walton Beach, FL 32547. The listed phone number is (850) 312-3570.

What is Emerald Coast Infectious Diseases Medical Group, PA's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Emerald Coast Infectious Diseases Medical Group, PA accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Emerald Coast Infectious Diseases Medical Group, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emerald Coast Infectious Diseases Medical Group, PA was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.