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PORT ST JOHN DISCOUNT PHARMACY
NPI 1053554980
Pharmacy - Community/Retail Pharmacy in Cocoa, FL

Active since April 08, 2009
6801 N US HIGHWAY 1 STE 1, COCOA, FL 32927(321) 637-0911(321) 639-0856 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Port St John Discount Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT ST JOHN DISCOUNT PHARMACY (NPI 1053554980) is a healthcare organization registered as a community/retail pharmacy in Cocoa, Florida and active in the NPI registry since April 2009. The organization lists Rajesh Patel, Manager, as its authorized official.

NPPES Registry Identity

NPI1053554980
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePSJ PHARMACY LLC
Location Address6801 N US HIGHWAY 1 STE 1Cocoa, FL 32927-5095
Mailing Address6801 N Us Highway 1 Ste 1Cocoa, FL 32927-5095 · (321) 637-0911 · Fax (321) 639-0856
Phone(321) 637-0911
Fax(321) 639-0856
Organization SubpartNo
Authorized OfficialRajesh PatelManager · (407) 488-6851
Enumeration DateApril 8, 2009
Last NPPES UpdateMarch 30, 2015
✔ NPI 1053554980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH23958
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
6801 N US HIGHWAY 1 STE 1, Cocoa, FL 32927
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Other Names 1

Doing Business AsPort St John Discount Pharmacy

Other Identifiers 3

Medicaid001149901FL
Medicaid001149900FL
Other2119675Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2190349

Psj Pharmacy LLC · Cocoa, FL
Expired · Aug 11, 2026
CLIA Number10D2190349
Laboratory TypePharmacy
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorRajesh A. Patel
Laboratory Phone(321) 637-0911
Laboratory LocationPsj Pharmacy LLC6801-1 Us Hwy 1 North, Cocoa, FL 32927
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services34 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
29 services29 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSJ PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
6801 N US HIGHWAY 1 STE 1
COCOA, FL 32927
Brevard County (321) 637-0911
BHAVIN RATILAL DHADUK
Pharmacist
6801 N US HIGHWAY 1 STE 1
COCOA, FL 32927
Brevard County (321) 637-0911
RAJESH ARVINDBHAI PATEL PHARMACIST
Pharmacist
6801 N US HIGHWAY 1 STE 1
COCOA, FL 32927
Brevard County (407) 488-6851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psj Pharmacy LLC's NPI number?

The NPI number for Psj Pharmacy LLC is 1053554980. It was assigned to this organization in the NPPES registry on April 8, 2009. The provider is doing business as Port St John Discount Pharmacy.

Where is Psj Pharmacy LLC located?

Psj Pharmacy LLC is located at 6801 N Us Highway 1 Ste 1, Cocoa, FL 32927. The listed phone number is (321) 637-0911.

What is Psj Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Psj Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Psj Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psj Pharmacy LLC was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.