BREVARD HEALTH ALLIANCE INC (NPI# 1285111732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285111732 |
Entity Type | Organization |
Organization Name | BREVARD HEALTH ALLIANCE INC |
Other Organization Name | BHA PHARMACY |
Practice Address |
2120 Sarno Rd Melbourne FL 32935-3084 |
Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
Practice Telephone | 3212416800 |
Practice Fax Number | 3212416888 |
Mailing Telephone | 3219529696 |
Mailing Fax Number | 3219527937 |
Enumeration Date | 2018-07-26 |
Last Update Date | 2019-05-09 |
Authorized Official Name | ANGELA CRAIG (DIRECTOR OF BILLING) |
Authorized Official Telephone | 3212416834 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 101739800 | 05 |
Other Name | Type Code |
---|---|
BHA Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073855797 | Brevard Health Alliance Inc | Clinic/Center | 4000 N Riverside Dr, Indian Harbour Beach, FL 32937-4842 | 2013-03-20 |
1124660527 | Brevard Health Alliance Inc | Pharmacy | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-10-17 |
1780226555 | Brevard Health Alliance Inc | Pharmacy | 1537 N Singleton Ave, Titusville, FL 32796-1679 | 2019-10-14 |
1811539687 | Brevard Health Alliance Inc | Pharmacy | 220 Barton Blvd Unit C14, Rockledge, FL 32955-2742 | 2019-10-14 |
1962857417 | Brevard Health Alliance Inc | Clinic/Center | 7227 N Us Highway 1, Cocoa, FL 32927-5020 | 2016-05-03 |
1902244486 | Brevard Health Alliance Inc | Clinic/Center | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2013-06-06 |
1013355726 | Brevard Health Alliance Inc | Clinic/Center | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2013-06-05 |
1285976480 | Brevard Health Alliance Inc | Clinic/Center | 4000 N Riverside Dr, Indian Harbour Beach, FL 32937-4842 | 2013-03-26 |
1639413925 | Brevard Health Alliance Inc | Clinic/Center | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2012-11-27 |
1730423021 | Brevard Health Alliance Inc | Clinic/Center | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2012-11-27 |
Street Address |
2120 SARNO RD |
City | MELBOURNE |
State | FL |
Zip Code | 32935-3084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952303059 | Gregory Earl Cheshire | Dentist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2005-06-02 |
1154936482 | Nadia Zahara Jomaa | Social Worker | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-09-14 |
1235750100 | Lisa G Gurri | Speech-Language Pathologist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-05-02 |
1154956217 | Ashley Archer | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-03-10 |
1306479399 | Jessica Matos | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-02-18 |
1952869794 | Robert Edward Geiger | Pharmacist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2019-03-12 |
1538627294 | Jennifer Griffin | Pharmacist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2019-03-12 |
1083180434 | The Brevard Health Alliance, Inc. | Clinic/Center | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2018-10-23 |
1700323789 | Kinard Cooper | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2017-01-27 |
1326491093 | Joel Eley | Dentist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2016-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
Find all providers in zip 32935 |
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 |
1871158113 | University Center Medical LLC | Pharmacy | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2019-05-02 |
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 |
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.