Organization Active NPI

Maheem Enterprise LLC

Doing business as Babcock Pharmacy LLC

  • Long Term Care Pharmacy
  • Melbourne, FL
National Provider Identifier
1073399523
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAHEEM ENTERPRISE LLC
Doing business as
Babcock Pharmacy LLC
Practice address
1515 Palm Bay Rd Ste 108
Melbourne, FL 32905-3863
Phone
(321) 499-3999
Fax
(321) 499-3994
NPI assigned
Aug 31, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Devang N Modi, RPHNPI 1598176778
Title
Owner/Manager
Phone
(321) 499-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1515 Palm Bay Rd Ste 108
Melbourne, FL 32905-3863

Mailing address

1515 Palm Bay Rd Ste 108
Melbourne, FL 32905-3863
Phone (321) 499-3999

Other names 1

  • BABCOCK PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1515 Palm Bay Rd
Ste 108
Palm Bay, FL 32905
Phone (321) 499-3999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1073399523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PALM BAY RD STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329053863",
            "telephone_number": "321-499-3999",
            "fax_number": "321-499-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PALM BAY RD STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329053863",
            "telephone_number": "321-499-3999",
            "fax_number": "321-499-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHEEM ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-499-3999",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BABCOCK PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.