GUARDIAN PHARMACY OF NW FLORIDA NPI 1861798613

NPI Information

  • NPI: 1861798613
  • Provider Name: GUARDIAN PHARMACY OF NW FLORIDA
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: GUARDIAN PHARMACY OF NW FLORIDA
  • Address: 212 N WILSON ST
    CRESTVIEW, FL
    ZIP 32536
  • Phone: (850) 306-3003

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NPI Details

GUARDIAN PHARMACY OF NW FLORIDA is a long term care pharmacy pharmacy in Crestview, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF NW FLORIDA NPI is 1861798613. The provider is registered as an organization entity type.
The provider Is Doing Business As Guardian Pharmacy Of Nw Florida.

The provider's business location address is:

212 N WILSON ST
CRESTVIEW, FL
ZIP 32536-438
Phone: (850) 306-3003
Fax: (850) 306-3004

The provider's authorized official is Robert Dunn .
The authorized official title is President and has the following contact phone number (850) 306-3003.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 1/26/2011 and was last updated on 7/21/2022.

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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPH25396FLORIDAYes

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
1003506200MEDICAIDFLORIDA
22129820OTHERPK

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

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