PALM BAY RX PHARMACY LLC
NPI 1164169454
Pharmacy - Community/Retail Pharmacy in Palm Bay, FL

Q: What is Palm Bay Rx Pharmacy LLC's NPI number?

The NPI number for Palm Bay Rx Pharmacy LLC is 1164169454. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider is doing business as Palm Bay Pharmacy.

Q: What is Palm Bay Rx Pharmacy LLC's specialty?

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

Active since May 18, 2022CLIA 10D2148531 · Waiver

1270 MALABAR RD SE, SUITE #2, PALM BAY, FL 32907(321) 952-0656(321) 952-0780 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Palm Bay Rx Pharmacy Llc NPPES

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

PALM BAY RX PHARMACY LLC (NPI 1164169454), doing business as Palm Bay Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Palm Bay, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Hardikkumar Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1164169454

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePALM BAY RX PHARMACY LLC

Location Address1270 MALABAR RD SE, SUITE #2Palm Bay, FL 32907

Mailing Address2812 W Dr. Martin Luther King Jr. BlvdTampa, FL 33607

Phone(321) 952-0656

Fax(321) 952-0780

Organization SubpartNo

Authorized OfficialHardikkumar PatelOwner · (973) 362-6056

Enumeration DateMay 18, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1164169454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

1270 MALABAR RD SE, Palm Bay, FL 32907

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Other Names 1

Doing Business AsPalm Bay Pharmacy

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 10D2148531

Palm Bay Rx Pharmacy LLC · Palm Bay, FL

Active · expires May 13, 2028

CLIA Number10D2148531

Laboratory TypePharmacy

Certificate Effective DateMay 14, 2026

Certificate Expiration DateMay 13, 2028

Laboratory DirectorEdy Payoute

Laboratory Phone(321) 952-0656

Laboratory LocationPalm Bay Rx Pharmacy LLC1270 Malabar Rd SE Suite #2, Palm Bay, FL 32907

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RX CARE FOUR LLC

Pharmacy (Community/Retail Pharmacy)

1270 MALABAR RD SE, STE 2
PALM BAY, FL 32907

Brevard County (321) 952-0656

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 Palm Bay Rx Pharmacy LLC's NPI number?

The NPI number for Palm Bay Rx Pharmacy LLC is 1164169454. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider is doing business as Palm Bay Pharmacy.

Where is Palm Bay Rx Pharmacy LLC located?

Palm Bay Rx Pharmacy LLC is located at 1270 Malabar Rd SE Suite #2, Palm Bay, FL 32907. The listed phone number is (321) 952-0656.

What is Palm Bay Rx Pharmacy LLC's specialty?

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

Does Palm Bay Rx Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2148531) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Bay Rx 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 46 other insurers list Palm Bay Rx 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 Palm Bay Rx Pharmacy LLC was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.