ATLANTIC PH LLC (NPI# 1477051217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477051217 |
| Entity Type | Organization |
| Organization Name | ATLANTIC PH LLC |
| Other Organization Name | ATLANTIC PHARMACY |
| Practice Address |
1525 S Wickham Rd Melbourne FL 32904-3540 |
| Mailing Address |
3278 Lamanga Dr Melbourne FL 32940-8524 |
| Practice Telephone | 3218214998 |
| Practice Fax Number | 3218214971 |
| Mailing Telephone | 3215144694 |
| Mailing Fax Number | 3218214971 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | NIRMIN NASR (MANAGER) |
| Authorized Official Telephone | 3215144694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH31134 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175640 | 01 | |
| FL | 024459300 | 05 |
| Other Name | Type Code |
|---|---|
| ATLANTIC PHARMACY | Doing Business As Name - Organization |
| Street Address |
1525 S WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871037333 | Night Owl Pharmacy, Inc. | Pharmacy | 811 E Hibiscus Blvd, Melbourne, FL 32901-3219 | 2016-12-18 |
| 1598115958 | City Discount Pharmacy | Pharmacy | 2330 N Wickham Rd Ste 7, Melbourne, FL 32935-8183 | 2016-06-16 |
| 1265868665 | Wickham Discount Pharmacy LLC | Pharmacy | 1060 N Wickham Rd, Melbourne, FL 32935-8937 | 2013-09-18 |
| 1023112000 | Holiday Cvs LLC | Pharmacy | 1800 N Wickham Rd, Melbourne, FL 32935-8104 | 2006-09-12 |
| 1821192741 | Holiday Cvs LLC | Pharmacy | 19 E New Haven Ave, Melbourne, FL 32901-4403 | 2006-09-12 |
| 1336156314 | Walgreen Co | Pharmacy | 1213 Palm Bay Rd, Melbourne, FL 32905-3781 | 2006-08-02 |
| 1881600351 | Walgreen Co | Pharmacy | 4280 Minton Rd, Melbourne, FL 32904-9564 | 2006-08-01 |
| 1871158113 | University Center Medical LLC | Pharmacy | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2019-05-02 |
| 1861931198 | Health First Family Pharmacy | Pharmacy | 8725 N Wickham Rd, Suite 102, Melbourne, FL 32940-2239 | 2017-02-20 |
| 1396143475 | Holmes Regional Medical Center, Inc. | Pharmacy | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2014-12-05 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.