Individual provider Active NPI

Deborah S Pechacek, RPH

  • Pharmacist
  • Ormond Beach, FL
National Provider Identifier
1861488728
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS24380 Issued in FL
Practice address
821 N US Highway 1 Ste a-1
Ormond Beach, FL 32174-4561
Phone
(833) 886-6500
NPI assigned
Sep 26, 2005
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS24380 FL Primary

Addresses

Primary practice location

821 N US Highway 1 Ste a-1
Ormond Beach, FL 32174-4561

Mailing address

133 Sea Isle Cir
South Daytona, FL 32119-2228
Phone (321) 663-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS24380FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metfusion, LLC PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1861488728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SEA ISLE CIR",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192228",
            "telephone_number": "321-663-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N US HIGHWAY 1 STE A-1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744561",
            "telephone_number": "833-886-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHACEK",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.