Callaway Gulf Coast Pharmacy Co
NPI 1790162311 · Community/Retail Pharmacy · Panama City, FL
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Callaway Gulf Coast Pharmacy Co is a Community/Retail Pharmacy organization in Panama City, FL (NPI 1790162311).
Provider details
- NPI number
- 1790162311
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adel Ebrahim, President(850) 319-3238
- License
- PH29076 (FL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Callaway Gulf Coast Pharmacy
- Doing business as
- Callaway Gulf Coast Pharmacy
Registry dates
- Enumerated
- 2015-05-04
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Frequently asked questions
- What is Callaway Gulf Coast Pharmacy Co's NPI number?
- Callaway Gulf Coast Pharmacy Co's National Provider Identifier (NPI) is 1790162311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Callaway Gulf Coast Pharmacy Co?
- Callaway Gulf Coast Pharmacy Co is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Callaway Gulf Coast Pharmacy Co located?
- Callaway Gulf Coast Pharmacy Co's practice location on file with NPPES is 420 N Tyndall Pkwy, Panama City, FL 32404-6125.
- What is Callaway Gulf Coast Pharmacy Co's phone number?
- The practice phone number listed in the NPPES registry for Callaway Gulf Coast Pharmacy Co is (850) 615-2000.
- Does Callaway Gulf Coast Pharmacy Co accept Medicare?
- Callaway Gulf Coast Pharmacy Co is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Callaway Gulf Coast Pharmacy Co?
- The authorized official listed on Callaway Gulf Coast Pharmacy Co's NPPES record is Adel Ebrahim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Callaway Gulf Coast Pharmacy Co's NPI active?
- Yes — Callaway Gulf Coast Pharmacy Co's NPI (1790162311) is active in the NPPES registry as of the last update on 2021-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.