MR. CHARLES BENJAMIN KOKO (NPI# 1750726790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750726790 |
| Entity Type | Individual |
| Full Name | MR. CHARLES BENJAMIN KOKO |
| Credential | RPH |
| Practice Address |
4719 Chastain Dr Melbourne FL 32940-1275 |
| Practice Telephone | 3212591364 |
| Mailing Telephone | 3212591364 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS41097 | FL | Pharmacy Service Providers |
| Street Address |
4719 CHASTAIN DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105981 | Jennifer Elbert | Pharmacist | 2176 Sarno Rd Ste 120, Melbourne, FL 32935-3086 | 2020-08-19 |
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1659868982 | James Mezheritskiy | Pharmacist | 1278 Tipperary Dr, Melbourne, FL 32940-6028 | 2018-04-23 |
| 1578068128 | Michael Alan Donato | Pharmacist | 4315 Canby Dr, Melbourne, FL 32901-8888 | 2018-03-27 |
| 1083123632 | Christina Gendy | Pharmacist | 1515 Palm Bay Rd Ste 108, Melbourne, FL 32905-3863 | 2017-09-27 |
| 1073058954 | Jennifer Mooney | Pharmacist | 1515 Elizabeth St Ste J, Melbourne, FL 32901-3000 | 2016-12-30 |
| 1174979389 | Carlette Norwood-williams | Pharmacist | 2475 Jen Dr Ste 3, Melbourne, FL 32940-7480 | 2016-05-05 |
| 1447644588 | Bianca Knight | Pharmacist | 8252 Old Tramway Dr, Melbourne, FL 32940-2184 | 2015-03-26 |
| 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.