NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Crestview Pharmacy, LLC

Community/Retail Pharmacy in Crestview, FL · enumerated 2006 · authorized official Vince Dagrava, Coo.

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

National Provider Identifier

1407965262

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Crestview Pharmacy, LLC
Other name <Unavail>
Practice address 1116 N Ferdon Blvd, Crestview, FL, 32536
Phone (850) 683-1111
Fax (850) 683-1753
Enumeration date Aug 29, 2006
Last updated in NPPES Jun 11, 2019

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PH18397 (FL) Primary

Authorized official

Name Vince Dagrava
Title Coo
Phone (859) 552-5013

Other identifiers

Identifier Type State Issuer
100200027 Medicaid AL -
025327800 Medicaid FL -
1094870 Other FL NCPDP - NAPB

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 Crestview Pharmacy, LLC?
Crestview Pharmacy, LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-11.