Pacifico National Inc
Compounding Pharmacy
1515 Elizabeth St, Ste J, Melbourne
Florida, 32901-3000
321-872-0723 321-872-0721
Pacifico National Inc is a Compounding Pharmacy in Melbourne, Florida. It is located at 1515 Elizabeth St, Ste J, Melbourne and it's customer support contact number is 321-872-0723. The authorized person of Pacifico National Inc is Mark Sangree who is Pres of the pharmacy and his contact number is 321-872-0723. Pacifico National Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pacifico National Inc is 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.
Pharmacy Details:
Pacifico National Inc 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: | Pacifico National Inc |
| Type: | Compounding Pharmacy |
| Location: | 1515 Elizabeth St, Ste J, Melbourne,
Florida, 32901-3000 |
| Phone: | 321-872-0723 |
| Fax: | 321-872-0721 |
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: | Mark Sangree |
| Position: | Pres |
| Contact Number: | 321-872-0723 |
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: | 1366416448 |
| NPI Enumeration Date: | 15 Feb, 2006 |
| NPI Last Update On: | 20 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pacifico National Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | | Alabama | Primary | |
| Compounding Pharmacy | 16452MS | Idaho | Secondary | |
| Compounding Pharmacy | 5301008923 | Michigan | Secondary | |
| Compounding Pharmacy | PH27532 | Florida | Secondary | |
| Compounding Pharmacy | FL1446 | Kentucky | Secondary | |
| Compounding Pharmacy | NRX1701137 | District Of Columbia | Secondary | |
| Compounding Pharmacy | A9-0001042 | Delaware | Secondary | |
| Compounding Pharmacy | 3942 | Iowa | Secondary | |
| Compounding Pharmacy | P03052 | Maryland | Secondary | |
| Compounding Pharmacy | 64000903A | Indiana | Secondary | |
| Compounding Pharmacy | 22-02899 | Kansas | Secondary | |
| Compounding Pharmacy | PHNR 000556 | Georgia | Secondary | |
| Compounding Pharmacy | 006292 | Louisiana | Secondary | |
| Compounding Pharmacy | 054.016601 | Illinois | Secondary | |
| Compounding Pharmacy | PMP-1330 | Hawaii | Secondary | |
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 |
| 1366416448 | Medicaid | Minnesota | |
| 1366416448 | Medicaid | Illinois | |
| 226807 | Medicaid | New Hampshire | |
| 546330 | Medicaid | New Jersey | |
| 1000055714 | Medicaid | Wisconsin | |
| 1366416448 | Medicaid | Idaho | |
| 1366416448 | Medicaid | Utah | |
| 2856995 | Medicaid | Ohio | |
| 02199910 | Medicaid | Florida | |
| 134038 | Medicaid | Arizona | |
| 2013120 | Other | | Pk |
| 201352590A | Medicaid | Indiana | |
| 7100410000 | Medicaid | Kentucky | |
| 10026562600 | Medicaid | Nebraska | |
| 1028490 | Medicaid | Vermont | |
| 105780400 | Medicaid | Maryland | |
| 200647710A | Medicaid | Oklahoma | |
| 1366416448 | Medicaid | New Mexico | |
| 2059467 | Medicaid | Washington | |
| 500707688 | Medicaid | Oregon | |
Medicare Enrollment:
Pacifico National Inc 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 |
| 3274654405 | O20100930078845 | Pacifico National Inc | DME SUPPLIER - PHARMACY |
Products Available:
Pacifico National Inc has following products available for sale under medicare.
| Products: |
|---|
| • Orthoses: Off-the-shelf | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1515 Elizabeth St, Ste J
Melbourne, Florida |
| Zip: | 32901-3000 |
| Phone Number: | 321-872-0723 |
| Fax Number: | 321-872-0721 |
Patients can reach Pacifico National Inc at
1515 Elizabeth St, Ste J, Melbourne, Florida or can
call on customer care at 321-872-0723.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.