Crestview Pharmacy, Llc
Community/Retail Pharmacy
1116 N Ferdon Blvd, Crestview
Florida, 32536-1710
850-683-1111 850-683-1753
Crestview Pharmacy, Llc is a Community/Retail Pharmacy in Crestview, Florida. It is located at 1116 N Ferdon Blvd, Crestview and it's customer support contact number is 850-683-1111. The authorized person of Crestview Pharmacy, Llc is Mr. Vince Dagrava, PHARMD who is Coo of the pharmacy and his contact number is 859-552-5013. Active license number of Crestview Pharmacy, Llc is PH18397 for Community/Retail Pharmacy in Florida. Crestview Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Crestview Pharmacy, Llc is 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.
Pharmacy Details:
Crestview Pharmacy, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Crestview Pharmacy, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1116 N Ferdon Blvd, Crestview,
Florida, 32536-1710 |
| Phone: | 850-683-1111 |
| Fax: | 850-683-1753 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Vince Dagrava |
| Credentials: | PHARMD |
| Position: | Coo |
| Contact Number: | 859-552-5013 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1407965262 |
| NPI Enumeration Date: | 29 Aug, 2006 |
| NPI Last Update On: | 11 Jun, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crestview Pharmacy, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH18397 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100200027 | Medicaid | Alabama | |
| 025327800 | Medicaid | Florida | |
| 1094870 | Other | Florida | Ncpdp - Napb |
Medicare Enrollment:
Crestview Pharmacy, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9830302702 | O20170307002147 | Crestview Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1116 N Ferdon Blvd,
Crestview, Florida |
| Zip: | 32536-1710 |
| Phone Number: | 850-683-1111 |
| Fax Number: | 850-683-1753 |
Patients can reach Crestview Pharmacy, Llc at
1116 N Ferdon Blvd, Crestview, Florida or can
call on customer care at 850-683-1111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.