PACIFICO NATIONAL II INC (NPI# 1821033572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821033572 |
| Entity Type | Organization |
| Organization Name | PACIFICO NATIONAL II INC |
| Other Organization Name | AMEX PHARMA LAB |
| Practice Address |
2275 S Babcock St Melbourne FL 32901 |
| Mailing Address |
2275 S Babcock St Melbourne FL 32901-5305 |
| Practice Telephone | 8007702990 |
| Practice Fax Number | 8009921322 |
| Mailing Telephone | 8007702990 |
| Mailing Fax Number | 8009921322 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | MARK SANGREE (PRESIDENT) |
| Authorized Official Telephone | 5614452356 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE-FIRST COAST SERVICE OPTIONS, INC. | AS032 | 01 |
| Other Name | Type Code |
|---|---|
| AmEx Pharma Lab | Doing Business As Name - Organization |
| Street Address |
2275 S BABCOCK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134216856 | Ramagavri R Rawal | Pediatrics | 2275 S Babcock St, Brevard County Health Department, Melbourne, FL 32901-5305 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1477051217 | Atlantic Ph LLC | Pharmacy | 1525 S Wickham Rd, Melbourne, FL 32904-3540 | 2018-01-26 |
| 1871959296 | Dragonfly Botanica LLC | Pharmacy | 6450 N Wickham Rd, 102, Melbourne, FL 32940-2036 | 2016-01-14 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| 1700281672 | Florida Health Care Plan Inc | Pharmacy | 785 N Wickham Rd Ste 104, Melbourne, FL 32935-8857 | 2014-11-04 |
| 1265835938 | Holmes Regional Medical Center Inc | Pharmacy | 8725 N Wickham Rd Ste 102, Melbourne, FL 32940-2240 | 2014-10-08 |
| 1275878738 | Thrifty Discount Pharmacy LLC | Pharmacy | 32 W New Haven Ave, Melbourne, FL 32901-4406 | 2012-12-10 |
| 1306951330 | Sarno Pharmacy LLC | Pharmacy | 2176 Sarno Road Suite 120, Melbourne, FL 32935 | 2006-08-20 |
| 1457390320 | Publix Super Markets Inc | Pharmacy | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2006-06-06 |
| 1326015371 | Caeverett, Inc | Pharmacy | 830 E Main Street, Melbourne, AR 72556 | 2006-03-08 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on PACIFICO NATIONAL II INC.
| 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.