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Active NPI 1467606384 Organization (Entity Type 2)

45 Mdss Patrick Afb

Pharmacist • Patrick Afb, FL

About 45 Mdss Patrick Afb NPI 1467606384 Summary

45 Mdss Patrick Afb is a verified healthcare organization specializing in Pharmacist operating in Patrick Afb, FL. Located at 1381 S. PATRICK DR., 45 MDSS, this facility provides patient care and medical services under National Provider Identifier (NPI) 1467606384.

Administrative operations and authorized compliance are overseen by Jessica Pabon (Pharmacist).

Facility Location & Contact Primary Location

Facility Address

1381 S. Patrick Dr.
45 Mdss

Patrick Afb, FL 329253405

Telephone 3214948991

Authorized Official Information

Authorized Contact Name

Jessica Pabon

Title / Role

Pharmacist

Official Telephone

3214948991

Facility Classifications & Specialties

Pharmacist Primary Taxonomy

NUCC Taxonomy Code: 183500000X

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2011

Registered at 1381 S. PATRICK DR., 45 MDSS, PATRICK AFB, FL 329253405 (Tel: 3214948991)

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Updated Business Mailing Address September 12, 2011

Registered at 1381 S. PATRICK DR, PATRICK AFB, FL 329254258

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Organization / Clinic Name Updated September 12, 2011

Operating as 45 MDSS PATRICK AFB

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Pharmacist (License #BW6120656 in FL)

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Initial NPI Registration & Enumeration November 05, 2008

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1467606384
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 05, 2008
Last Update: September 12, 2011

Mailing Address

1381 S. Patrick Dr

Patrick Afb, FL 329254258

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.