MEDICAL TECHNOLOGY TRANSFER CORPORATION (NPI# 1871579375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871579375 |
| Entity Type | Organization |
| Organization Name | MEDICAL TECHNOLOGY TRANSFER CORPORATION |
| Other Organization Name | HARRIS FAMILY MEDICAL CENTER PHARMACY |
| Practice Address |
1800 W Hibiscus Blvd Suite 101 Melbourne FL 32901-2629 |
| Practice Telephone | 3217261614 |
| Practice Fax Number | 3217261611 |
| Mailing Telephone | 3217261614 |
| Mailing Fax Number | 3217261611 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | MRS. JULIE MICHELLE SHAW (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3217261614 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PH15653 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Harris Family Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295044824 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Road, Suite 6, Palm Bay, FL 32907 | 2010-09-30 |
| 1679742787 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Rd Se, Suite 7, Palm Bay, FL 32907-3108 | 2008-02-22 |
| 1104947217 | Medical Technology Transfer Corporation | Clinic/Center | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2007-04-03 |
| Street Address |
1800 W HIBISCUS BLVD SUITE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728046 | Patricia A Buxton | Family Medicine | 1800 W Hibiscus Blvd, Suite 101, Melbourne, FL 32901-2629 | 2005-08-26 |
| 1780034918 | Paul Edward Toth | Pharmacist | 1800 W Hibiscus Blvd, Suite 101, Melbourne, FL 32901-2629 | 2016-06-19 |
| 1851737449 | University Center Urgent Care, LLC | Clinic/Center | 1800 W Hibiscus Blvd, Suite 106, Melbourne, FL 32901-2629 | 2013-05-22 |
| 1174969703 | University Center Medical LLC | Clinic/Center | 1800 W Hibiscus Blvd, Suite 105, Melbourne, FL 32901-2629 | 2013-05-22 |
| 1427170117 | June Kirwin | Pharmacist | 1800 W Hibiscus Blvd, Suite 101, Melbourne, FL 32901-2629 | 2007-04-04 |
| 1558453308 | Nadine P. Ramdeen-wright | Internal Medicine | 1800 W Hibiscus Blvd, Suite 101, Melbourne, FL 32901-2629 | 2006-09-29 |
| 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 |
| 1821033572 | Pacifico National II Inc | Pharmacy | 2275 S Babcock St, Melbourne, FL 32901 | 2006-06-17 |
| 1457390320 | Publix Super Markets Inc | Pharmacy | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2006-06-06 |
| 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.