45 MDSS Patrick AFB

Primary specialty

PharmacistTaxonomy code 183500000X

License

BW6120656 Issued in FL

Legal business name

45 MDSS PATRICK AFB

Practice address

1381 S. Patrick Dr.
45 MDSS
Patrick AFB, FL 32925-3405

Phone

(321) 494-8991

NPI assigned

Nov 5, 2008

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica S Pabon

Title

Pharmacist

Phone

(321) 494-8991

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas S Hoffman, DO

  • Occupational Medicine Physician
  • Patrick Air Force Base, FL
  • NPI 1083600399
  NPD (past)
• Leonard Clark Perry, LMSW

  • Clinical Social Worker
  • Patrick AFB, FL
  • NPI 1821077520
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1467606384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S. PATRICK DR",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329254258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S. PATRICK DR.",
            "address_2": "45 MDSS",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253405",
            "telephone_number": "321-494-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "45 MDSS PATRICK AFB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "PABON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "321-494-8991"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "BW6120656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 45TH Medgrp-Patrick
• 45TH Medgrp-Patrick (DoD PATRICK ePhcy)
• Dauri Zoraida Alvarez, M.D.
• Kyle Blasser, DO
• Archie Bockhorst, O.D

• Pharmacist in Patrick AFB, FL
• Providers in Patrick AFB, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.