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AMEX PHARMACY
NPI 1366416448
Pharmacy - Compounding Pharmacy in Melbourne, FL

Active since February 15, 2006
1515 ELIZABETH ST, STE J, MELBOURNE, FL 32901(321) 872-0723(321) 872-0721 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2017, Mar 29, 2017, Nov 1, 2016 and 1 more (4 updates tracked since 2016).

About Amex Pharmacy NPPES

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

AMEX PHARMACY (NPI 1366416448) is a healthcare organization registered as a compounding pharmacy in Melbourne, Florida and active in the NPI registry since February 2006. The organization lists Mark Sangree, Pres, as its authorized official.

NPPES Registry Identity

NPI1366416448
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePACIFICO NATIONAL INC
Location Address1515 ELIZABETH ST, STE JMelbourne, FL 32901-3000
Mailing Address1515 Elizabeth St, Ste JMelbourne, FL 32901-3000 · (321) 872-0723 · Fax (321) 872-0721
Phone(321) 872-0723
Fax(321) 872-0721
Organization SubpartNo
Authorized OfficialMark SangreePres · (321) 872-0723
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 20, 20174 updates tracked since enumeration
✔ NPI 1366416448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Licenses✔ Licensed in ID · 16452MS✔ Licensed in MI · 5301008923✔ Licensed in FL · PH27532✔ Licensed in KY · FL1446✔ Licensed in DC · NRX1701137✔ Licensed in DE · A9-0001042✔ Licensed in IA · 3942✔ Licensed in MD · P03052✔ Licensed in IN · 64000903A✔ Licensed in KS · 22-02899✔ Licensed in GA · PHNR 000556✔ Licensed in LA · 006292✔ Licensed in IL · 054.016601✔ Licensed in HI · PMP-1330
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
1515 ELIZABETH ST, Melbourne, FL 32901
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Other Names 1

Doing Business AsAmex Pharmacy

Other Identifiers 21

Other2013120Pk
Medicaid1028490VT
Medicaid1366416448IL
Medicaid02199910FL
Medicaid1000055714WI
Medicaid500707688OR
Medicaid2856995OH
Medicaid134038AZ
Medicaid1366416448ID
Medicaid200647710AOK
Medicaid1366416448UT
Medicaid2059467WA
Medicaid7100410000KY
Medicaid201352590AIN
Medicaid1366416448NM
Medicaid105780400MD
Medicaid226807NH
Medicaid1366416448MN
Medicaid546330NJ
Medicaid10026562600NE
Medicare NSC1297530001

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 Pacifico National Inc's NPI number?

The NPI number for Pacifico National Inc is 1366416448. It was assigned to this organization in the NPPES registry on February 15, 2006. The provider is doing business as Amex Pharmacy.

Where is Pacifico National Inc located?

Pacifico National Inc is located at 1515 Elizabeth St Ste J, Melbourne, FL 32901. The listed phone number is (321) 872-0723.

What is Pacifico National Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Pacifico National Inc was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.