IndividualActive
Alyssa Baclig
NPI 1790407740 · Pharmacist · Destin, FL
Provider details
- NPI number
- 1790407740
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86147 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
977 Highway 98 E
Destin, FL 32541-2801
Phone: (850) 650-4538
Street-level locationGet directions
Mailing address
200 Page Bacon Rd Apt 4106
Mary Esther, FL 32569-1767
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.