Atlantic PH LLC

Community/Retail Pharmacy · Melbourne, FL

Organization Active NPI

NPI number 1477051217

Practice location

1525 S Wickham Rd
Melbourne, FL 32904-3540
Phone
(321) 821-4998
Fax
(321) 821-4971

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NPI record

NPI
1477051217
Entity type
Organization (Type 2)
Enumeration date
January 26, 2018
Last updated
September 19, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X PH31134 FL
Pharmacy 333600000X — —

Mailing address

3278 Lamanga Dr
Melbourne, FL 32940-8524
Phone
(321) 514-4694
Fax
(321) 821-4971

Authorized official

Name
Nirmin Nasr
Title
Manager
Phone
(321) 514-4694

Other names

  • Atlantic Pharmacy
  • Atlantic Pharmacy

About Atlantic PH LLC

Atlantic PH LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 1525 S Wickham Rd, Melbourne, FL 32904-3540. The NPI number 1477051217 was assigned on January 26, 2018 and the record was last updated on September 19, 2025.

Atlantic PH LLC lists a license in the registry: #PH31134 (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 Nirmin Nasr, Manager.

Frequently asked questions

What is the NPI number of Atlantic PH LLC?

The NPI number is 1477051217.

What is the phone number of Atlantic PH LLC?

The phone number listed for the practice location is (321) 821-4998.

Where is Atlantic PH LLC located?

1525 S Wickham Rd, Melbourne, FL 32904-3540.

What is the taxonomy code for Atlantic PH LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 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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