IndividualActive
Charles Fetrow, PHARMD
NPI 1578936431 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Patrick Afb, FL
Provider details
- NPI number
- 1578936431
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS 45349 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1381 S Patrick Dr
Ste a
Patrick Afb, FL 32925-3606
Phone: (321) 494-8216
Approximate (ZIP-level) locationGet directions
Mailing address
5135 Pina Vista Dr
Melbourne, FL 32934-7896
Registry dates
- Enumerated
- 2015-11-01
- Last updated
- 2015-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.