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Pacifico National Inc

Compounding Pharmacy in Melbourne, FL · enumerated 2006 · authorized official Mark Sangree, Pres.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366416448

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Pacifico National Inc
Other name <Unavail>
Practice address 1515 Elizabeth St, Ste J, Melbourne, FL, 32901
Fax (321) 872-0721
Enumeration date Feb 15, 2006
Last updated in NPPES Apr 20, 2017

Taxonomy & classification

3336C0004X Compounding Pharmacy Suppliers · License 16452MS (ID) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 5301008923 (MI) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PH27532 (FL) Secondary
3336C0004X Compounding Pharmacy Suppliers · License FL1446 (KY) Secondary
3336C0004X Compounding Pharmacy Suppliers · License NRX1701137 (DC) Secondary
3336C0004X Compounding Pharmacy Suppliers · License A9-0001042 (DE) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 3942 (IA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License P03052 (MD) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 64000903A (IN) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 22-02899 (KS) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PHNR 000556 (GA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 006292 (LA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 054.016601 (IL) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PMP-1330 (HI) Secondary
3336C0004X Compounding Pharmacy Suppliers Primary

Authorized official

Name Mark Sangree
Title Pres

Other identifiers

Identifier Type State Issuer
1366416448 Medicaid MN
1366416448 Medicaid IL
226807 Medicaid NH
546330 Medicaid NJ
1000055714 Medicaid WI
1366416448 Medicaid ID
1366416448 Medicaid UT
2856995 Medicaid OH
02199910 Medicaid FL
134038 Medicaid AZ
2013120 Other PK
201352590A Medicaid IN
7100410000 Medicaid KY
10026562600 Medicaid NE
1028490 Medicaid VT
105780400 Medicaid MD
200647710A Medicaid OK
1366416448 Medicaid NM
2059467 Medicaid WA
500707688 Medicaid OR

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pacifico National Inc?
Pacifico National Inc is registered in NPPES as a Compounding Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-20.