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SPACE COAST COMMUNITY PHARMACY
NPI 1851750178
Pharmacy - Community/Retail Pharmacy in Rockledge, FL

Active since February 15, 2016
197 BOUGAINVILLEA DR STE D, ROCKLEDGE, FL 32955(321) 636-2275 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2020, Apr 14, 2017, Apr 1, 2016 and 2 more (5 updates tracked since 2016).

About Space Coast Community Pharmacy NPPES

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

SPACE COAST COMMUNITY PHARMACY (NPI 1851750178) is a healthcare organization registered as a community/retail pharmacy in Rockledge, Florida and active in the NPI registry since February 2016. The organization lists Traci Mitchell, Owner, as its authorized official.

NPPES Registry Identity

NPI1851750178
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCRAYTON MITCHELL GROUP
Location Address197 BOUGAINVILLEA DR STE DRockledge, FL 32955-2402
Mailing Address197 Bougainvillea Dr Ste DRockledge, FL 32955-2402 · (321) 636-2275
Phone(321) 636-2275
Organization SubpartNo
Authorized OfficialTraci MitchellOwner · (321) 636-2275
Enumeration DateFebruary 15, 2016
Last NPPES UpdateJanuary 28, 20205 updates tracked since enumeration
✔ NPI 1851750178 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 · PH29873
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 · License PH29873 (FL)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License PH29873 (FL)
Also ListedPharmacyTaxonomy 333600000X
197 BOUGAINVILLEA DR STE D, Rockledge, FL 32955
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Other Names 1

Doing Business AsSpace Coast Community Pharmacy

Other Identifiers 1

Other2158119Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health First Commercial Plans, Inc., Humana, Medica 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 10D2189527

Crayton Mitchell Group LLC Dba, The Space Coast Community Pharmacy · Rockledge, FL
Expired · Jul 31, 2026
CLIA Number10D2189527
Laboratory TypePharmacy
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorTraci J. Mitchell
Laboratory Phone(321) 636-2275
Laboratory LocationCrayton Mitchell Group LLC Dba, The Space Coast Community Pharmacy197 Bouganvillea Drive Suite D, Rockledge, FL 32955
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Crayton Mitchell Group's NPI number?

The NPI number for Crayton Mitchell Group is 1851750178. It was assigned to this organization in the NPPES registry on February 15, 2016. The provider is doing business as Space Coast Community Pharmacy.

Where is Crayton Mitchell Group located?

Crayton Mitchell Group is located at 197 Bougainvillea Dr Ste D, Rockledge, FL 32955. The listed phone number is (321) 636-2275.

What is Crayton Mitchell Group's specialty?

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

What insurance does Crayton Mitchell Group accept?

Health plans from Health First Commercial Plans, Inc., Humana, Medica and Moda Health Plan, Inc. list Crayton Mitchell Group 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 Crayton Mitchell Group was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.