Patrick Halderman
Patrick Halderman is a Pharmacy Technician provider (Pharmacy Technician) practicing in Jacksonville, FL, registered in the NPPES registry with NPI 1174115562 since 2021. Practices at Holiday Cvs LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174115562 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Patrick Halderman |
| Sex | Male |
| Practice address | 7431 ATLANTIC BLVD, Jacksonville, FL, 32211 |
| Phone | 9047222151 |
| Enumeration date | 2021-02-07 |
| Last updated in NPPES | 2021-02-07 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | Primary | RPT21311 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPT21311 | Medicaid | FL | — |
Copy-ready billing details
Provider: Patrick Halderman NPI: 1174115562 Taxonomy: 183700000X (Pharmacy Technician) Address: 7431 ATLANTIC BLVD, Jacksonville, FL, 32211
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477657385 | Holiday Cvs LLC | Organization | Pharmacy | Jacksonville, FL |
| 1700481850 | Claudia Joseph | Individual | Pharmacist | Jacksonville, FL |
| 1023614146 | Mark Pancirov | Individual | Pharmacist | Jacksonville, FL |
| 1225626716 | Anthony Bynum Kissee | Individual | Pharmacist | Jacksonville, FL |
| 1023600665 | Ranze Nazareno | Individual | Pharmacist | Jacksonville, FL |
Verify this record
Cross-check NPI 1174115562 against the authoritative CMS record: view Patrick Halderman on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How do I verify Patrick Halderman's NPI record?
Is NPI 1174115562 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-02-07.