OrganizationActive
Outreach Community Care Network Inc
NPI 1043776057 · Community/Retail Pharmacy · Daytona Beach, FL
Outreach Community Care Network Inc is a Community/Retail Pharmacy organization in Daytona Beach, FL (NPI 1043776057).
Provider details
- NPI number
- 1043776057
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Outreach Community Care Network
- Organization subpart
- Yes
- Authorized official
- Chester Wilson, Executive Director(386) 675-0098
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 N. Frederick Avenue
Daytona Beach, FL 32114
Phone: (386) 675-0118
Fax: (386) 257-1245
Street-level locationGet directions
Mailing address
240 N. Frederick Avenue
Daytona Beach, FL 32114
Registry dates
- Enumerated
- 2019-02-14
- Last updated
- 2019-02-14
Frequently asked questions
- What is Outreach Community Care Network Inc's NPI number?
- Outreach Community Care Network Inc's National Provider Identifier (NPI) is 1043776057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Outreach Community Care Network Inc?
- Outreach Community Care Network Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Outreach Community Care Network Inc located?
- Outreach Community Care Network Inc's practice location on file with NPPES is 240 N. Frederick Avenue, Daytona Beach, FL 32114.
- What is Outreach Community Care Network Inc's phone number?
- The practice phone number listed in the NPPES registry for Outreach Community Care Network Inc is (386) 675-0118.
- Who is the authorized official for Outreach Community Care Network Inc?
- The authorized official listed on Outreach Community Care Network Inc's NPPES record is Chester Wilson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Outreach Community Care Network Inc's NPI active?
- Yes — Outreach Community Care Network Inc's NPI (1043776057) is active in the NPPES registry as of the last update on 2019-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.