UNIVERSITY CENTER MEDICAL LLC (NPI# 1871158113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871158113 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CENTER MEDICAL LLC |
| Practice Address |
1800 W Hibiscus Blvd Ste 101 Melbourne FL 32901-2624 |
| Practice Telephone | 3217261614 |
| Practice Fax Number | 3217261611 |
| Mailing Telephone | 3217261614 |
| Mailing Fax Number | 3217261611 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MRS. JULIE SHAW (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3217261614 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Harris Family Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174969703 | University Center Medical LLC | Clinic/Center | 1800 W Hibiscus Blvd, Suite 105, Melbourne, FL 32901-2629 | 2013-05-22 |
| Street Address |
1800 W HIBISCUS BLVD STE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552917 | Sung Il Taylor | Family Medicine | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2005-07-18 |
| 1699012401 | Julie Shaw | Pharmacist | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2013-01-14 |
| 1871733428 | Lauren B Harris | Physician Assistant | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2009-02-23 |
| 1104947217 | Medical Technology Transfer Corporation | Clinic/Center | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2007-04-03 |
| 1184708216 | Milad Chrieki | Family Medicine | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2006-10-25 |
| 1881778926 | Michael D Wolfington | Family Medicine | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
| 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 |
| 1619374436 | Holmes Regional Medical Center, Inc. | Pharmacy | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2014-11-21 |
| 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.