Brevard Pharmacy LLC
Community/Retail Pharmacy · Cocoa, FL
Practice location
6250 N Us Highway 1Cocoa, FL 32927-4926
- Phone
- (321) 305-6975
- Fax
- (321) 305-6978
NPI record
- NPI
- 1316488281
- Entity type
- Organization (Type 2)
- Enumeration date
- March 13, 2017
- Last updated
- March 13, 2017
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
PH30509 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Pharmacy | 333600000X |
— | — |
| Compounding Pharmacy | 3336C0004X |
— | — |
| Long Term Care Pharmacy | 3336L0003X |
— | — |
Authorized official
- Name
- Rajesh Patel
- Title
- Owner
- Phone
- (407) 488-6851
Other names
- Port St John Discount Pharmacy
About Brevard Pharmacy LLC
Brevard Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 6250 N Us Highway 1, Cocoa, FL 32927-4926. The NPI number 1316488281 was assigned on March 13, 2017 and the record was last updated on March 13, 2017.
Brevard Pharmacy LLC lists a license in the registry: #PH30509 (FL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Rajesh Patel, Owner.
Frequently asked questions
What is the NPI number of Brevard Pharmacy LLC?
The NPI number is 1316488281.
What is the phone number of Brevard Pharmacy LLC?
The phone number listed for the practice location is (321) 305-6975.
Where is Brevard Pharmacy LLC located?
6250 N Us Highway 1, Cocoa, FL 32927-4926.
What is the taxonomy code for Brevard Pharmacy LLC?
The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 4 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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