OrganizationActive
Crestview Pharmacy, LLC
NPI 1407965262 · Community/Retail Pharmacy · Crestview, FL
Crestview Pharmacy, LLC is a Community/Retail Pharmacy organization in Crestview, FL (NPI 1407965262).
Provider details
- NPI number
- 1407965262
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vince Dagrava, Coo(859) 552-5013
- License
- PH18397 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1116 N Ferdon Blvd
Crestview, FL 32536-1710
Phone: (850) 683-1111
Fax: (850) 683-1753
Street-level locationGet directions
Mailing address
1116 N Ferdon Blvd
Crestview, FL 32536-1710
Other names (DBA / former)
- Former legal business name
- Crestview Pharmacy, Inc
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2019-06-11
Frequently asked questions
- What is Crestview Pharmacy, LLC's NPI number?
- Crestview Pharmacy, LLC's National Provider Identifier (NPI) is 1407965262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crestview Pharmacy, LLC?
- Crestview Pharmacy, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Crestview Pharmacy, LLC located?
- Crestview Pharmacy, LLC's practice location on file with NPPES is 1116 N Ferdon Blvd, Crestview, FL 32536-1710.
- What is Crestview Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Crestview Pharmacy, LLC is (850) 683-1111.
- Who is the authorized official for Crestview Pharmacy, LLC?
- The authorized official listed on Crestview Pharmacy, LLC's NPPES record is Vince Dagrava, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crestview Pharmacy, LLC's NPI active?
- Yes — Crestview Pharmacy, LLC's NPI (1407965262) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.