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PORT ST JOHN DISCOUNT PHARMACY
NPI 1467752691
Pharmacy - Community/Retail Pharmacy in Cocoa, FL

Active since October 21, 2010
6250 N US HIGHWAY 1, COCOA, FL 32927(321) 305-6975(321) 305-6978 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 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 1467752691) is a healthcare organization registered as a community/retail pharmacy in Cocoa, Florida and active in the NPI registry since October 2010. The organization lists Chandrikaben Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1467752691
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBREVARD PHARMACY LLC
Location Address6250 N US HIGHWAY 1Cocoa, FL 32927-4926
Mailing Address6250 N Us Highway 1Cocoa, FL 32927-4926 · (321) 305-6975 · Fax (321) 305-6978
Phone(321) 305-6975
Fax(321) 305-6978
Organization SubpartNo
Authorized OfficialChandrikaben PatelOwner · (407) 488-6851
Enumeration DateOctober 21, 2010
Last NPPES UpdateMarch 6, 2017
✔ NPI 1467752691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH30509
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
6250 N US HIGHWAY 1, Cocoa, FL 32927
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Other Names 1

Doing Business AsPort St John Discount Pharmacy

Other Identifiers 3

Medicaid003226300FL
Other2127271Pk
Medicaid003226301FL

Other Providers at the Same Location NPPES

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

BREVARD PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
6250 N US HIGHWAY 1
COCOA, FL 32927
Brevard County (321) 305-6975

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 Brevard Pharmacy LLC's NPI number?

The NPI number for Brevard Pharmacy LLC is 1467752691. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Port St John Discount Pharmacy.

Where is Brevard Pharmacy LLC located?

Brevard Pharmacy LLC is located at 6250 N Us Highway 1, Cocoa, FL 32927. The listed phone number is (321) 305-6975.

What is Brevard Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Brevard Pharmacy LLC was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.