Gregory Spake, RPH. CPH

Pharmacist · Melbourne, FL

Individual Active NPI

NPI number 1649372186

Practice location

4020 N Wickham Rd
Melbourne, FL 32935-2472
Phone
(321) 254-7803
Fax
(321) 449-0585

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NPI record

NPI
1649372186
Entity type
Individual (Type 1)
Enumeration date
September 4, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS25626 FL
Pharmacist 183500000X PU5073 FL
Pharmacist 183500000X 9383 AZ

Mailing address

PO Box 156
Cocoa, FL 32923-0156
Fax
(321) 449-0585

About Gregory Spake

Gregory Spake, RPH. CPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4020 N Wickham Rd, Melbourne, FL 32935-2472. The NPI number 1649372186 was assigned on September 4, 2006 and the record was last updated on July 8, 2007.

Gregory Spake lists 3 licenses in the registry: #PS25626 (FL) for Pharmacist; #PU5073 (FL) for Pharmacist; #9383 (AZ) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregory Spake, RPH. CPH?

The NPI number is 1649372186.

What is the phone number of Gregory Spake?

The phone number listed for the practice location is (321) 254-7803.

Where is Gregory Spake located?

4020 N Wickham Rd, Melbourne, FL 32935-2472.

What is the taxonomy code for Gregory Spake?

The primary taxonomy code is 183500000X – Pharmacist; 2 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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