Active NPI
Maheem Enterprise LLC
Doing business as babcock pharmacy & surgicals
- Community/Retail Pharmacy
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH27315
- Legal business name
- MAHEEM ENTERPRISE LLC
- Doing business as
- babcock pharmacy & surgicals
- Practice address
- 1515 Palm Bay Rd Ste 108
Melbourne, FL 32905-3863 - Phone
- (321) 499-3999
- Fax
- (321) 499-3994
- NPI assigned
- Jun 27, 2014
- Last updated
- Sep 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devang N Modi, RPH,MS
- Title
- Pharmacy Manager
- Phone
- (201) 993-5814
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH27315 | FL | 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 & surgicals
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211001000138 | FL | Part B Supplier - Pharmacy | 7810207842 | Practice locations: Melbourne, FL |
National Provider Directory
National Provider DirectoryLocations
5055 Babcock St NE
Ste 3
Palm Bay, FL 32905
Phone (201) 993-5814
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Pharmacist
- Palm Bay, FL
- NPI 1598176778
-
- Pharmacist
- Melbourne, FL
- NPI 1083123632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1073928057",
"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": "2014-06-27",
"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": "PHARMACY MANAGER",
"authorized_official_telephone_number": "201-993-5814",
"authorized_official_credential": "RPH,MS"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH27315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "babcock pharmacy & surgicals",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "babcock pharmacy & surgicals",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.