Port St John Discount Pharmacy
LBN: Brevard Pharmacy Llc
Port St John Discount Pharmacy is an health care organization with primary practice located at 6250 N Us Highway 1 , Cocoa FL 32927-4926. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brevard Pharmacy Llc can be contacted via phone (321) 305-6975, or through Patel, Chandrikaben via phone (407) 488-6851.
Contact Information
Primary practice address
6250 N Us Highway 1
Cocoa FL 32927-4926
Phone: (321) 305-6975
Fax: (321) 305-6978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH30509 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1467752691 |
|---|---|
| LBN Legal business name | Brevard Pharmacy Llc |
| DBA Doing business as | Port St John Discount Pharmacy |
| Authorized official | Patel, Chandrikaben RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 21st, 2010 |
| Last updated | Mar 6th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467752691 | NPPES |
| Other | 2127271 | PK | |
| MEDICAID | 003226300 | PK | |
| MEDICAID | 003226301 | PK |
Popular Providers
-
Publix Super Markets Inc
2301 Sr 524 Lot 150 , Cocoa FL 32926 -
S & B Health Systems Llc
2711 Clearlake Rd # C-10 , Cocoa FL 32922-5721 -
Psj Pharmacy Llc
6801 N Us Highway 1 Ste 1 , Cocoa FL 32927-5095 -
Publix Super Markets Inc
7325 N Us Highway 1 , Cocoa FL 32927-5006 -
Walgreen Co
1106 Clearlake Rd , Cocoa FL 32922-6402 -
Brevard Pharmacy Llc
6250 N Us Highway 1 , Cocoa FL 32927-4926 -
Wal-Mart Stores East Lp
2700 Clearlake Rd , Cocoa FL 32922-5716 -
Five Points Pharmacy Of Cocoa Llc
1108 Lake Dr , Cocoa FL 32922-8678