Crayton Mitchell Group
Community/Retail Pharmacy · Rockledge, FL
Practice location
197 Bougainvillea Dr Ste DRockledge, FL 32955-2402
- Phone
- (321) 636-2275
NPI record
- NPI
- 1851750178
- Entity type
- Organization (Type 2)
- Enumeration date
- February 15, 2016
- Last updated
- January 28, 2020
- Certified
- January 28, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
PH29873 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
PH29873 | FL |
| Customized Equipment (DME) | 332BC3200X |
PH29873 | FL |
| Pharmacy | 333600000X |
— | — |
Authorized official
- Name
- Traci Mitchell
- Title
- Owner
- Phone
- (321) 636-2275
Other names
- Space Coast Community Pharmacy
- Space Coast Community Pharmacy
About Crayton Mitchell Group
Crayton Mitchell Group is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 197 Bougainvillea Dr Ste D, Rockledge, FL 32955-2402. The NPI number 1851750178 was assigned on February 15, 2016 and the record was last updated on January 28, 2020.
Crayton Mitchell Group lists 3 licenses in the registry: #PH29873 (FL) for Community/Retail Pharmacy; #PH29873 (FL) for Durable Medical Equipment & Medical Supplies; #PH29873 (FL) for Customized Equipment (DME). License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Traci Mitchell, Owner.
Frequently asked questions
What is the NPI number of Crayton Mitchell Group?
The NPI number is 1851750178.
What is the phone number of Crayton Mitchell Group?
The phone number listed for the practice location is (321) 636-2275.
Where is Crayton Mitchell Group located?
197 Bougainvillea Dr Ste D, Rockledge, FL 32955-2402.
What is the taxonomy code for Crayton Mitchell Group?
The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 3 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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