CRESTVIEW PHARMACY, LLC
NPI 1407965262
Pharmacy - Community/Retail Pharmacy in Crestview, FL
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
About CRESTVIEW PHARMACY, LLC
This page provides the complete NPI Profile along with additional information for Crestview Pharmacy, Llc, a provider established in Crestview, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1407965262 assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PH18397 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's former legal business name is Crestview Pharmacy, Inc. The authorized official of this NPI record is Mr. Vince Dagrava Pharmd (Coo)
- NPI
- 1407965262 Verify this NPI
- Provider Legal Name
- CRESTVIEW PHARMACY, LLC
- Other Organization Name
- CRESTVIEW PHARMACY, INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1116 N FERDON BLVD CRESTVIEW, FL 32536
- Location Phone
- (850) 683-1111
- Location Fax
- (850) 683-1753
- Mailing Address
- 1116 N FERDON BLVD CRESTVIEW, FL 32536
- Mailing Phone
- (850) 683-1111
- Mailing Fax
- (850) 683-1753
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 06-11-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- PH18397
- License State
- FL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 025327800 | MEDICAID (05) | FL | |
| 1094870 | OTHER (01) | FL | NCPDP - NAPB |
| 100200027 | MEDICAID (05) | AL |
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407965262, enumerated as an "organization" on August 29, 2006.
The provider is located at 1116 N FERDON BLVD CRESTVIEW, FL 32536 and the phone number is (850) 683-1111.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
