PATRICK HALDERMAN NPI 1174115562

NPI Information

  • NPI: 1174115562
  • Provider Name: PATRICK HALDERMAN
  • Classification: Pharmacy Technician - 183700000X
  • Entity Type: Individual
  • Address: 7431 ATLANTIC BLVD
    JACKSONVILLE, FL
    ZIP 32211
  • Phone: (904) 722-2151

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NPI Details

Patrick Halderman is a pharmacy technician in Jacksonville, FL. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. Patrick Halderman NPI is 1174115562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7431 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32211-712
Phone: (904) 722-2151

The enumeration date for this NPI number is 2/7/2021 and was last updated on 2/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183700000XPharmacy TechnicianRPT21311FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RPT21311MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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