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DR. DYLAN PACK
NPI 1477077105
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Virginia Beach, VA

Active since August 03, 2017
4625 SHORE DR, VIRGINIA BEACH, VA 23455(757) 640-1674 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2020, Aug 3, 2017 (2 updates tracked since 2017).

About Dr. Dylan Pack NPPES

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

DR. DYLAN PACK (NPI 1477077105) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Virginia Beach, Virginia, licensed in Virginia (0202216015) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1477077105
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. DYLAN PACK
Location Address4625 SHORE DRVirginia Beach, VA 23455-2745
Mailing Address4816 Harbor Oaks WayVirginia Beach, VA 23455-1944
Phone(757) 640-1674
Sole ProprietorNo
Enumeration DateAugust 3, 2017
Last NPPES UpdateJanuary 14, 20202 updates tracked since enumeration
✔ NPI 1477077105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in VA · 0202216015
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 0202216015 (VA)
4625 SHORE DR, Virginia Beach, VA 23455
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
4625 SHORE DR
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-1674
CLAIRE GRAY PHARMD
Pharmacist
4625 SHORE DR
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-0343
STERLING B COFER JR.
Pharmacist
4625 SHORE DR
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-1898
MRS. STACEY RENEE' LEE RPH
Pharmacist
4625 SHORE DR
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-1898
MEREDITH LEIGH IVES
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4625 SHORE DR
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-1674
DR. KEVIN LEE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4625 SHORE DR
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-1674

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 Dylan Pack's NPI number?

The NPI number for Dylan Pack is 1477077105. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Dylan Pack located?

Dylan Pack practices at 4625 Shore Dr, Virginia Beach, VA 23455. The listed phone number is (757) 640-1674.

What is Dylan Pack's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Dylan Pack was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.