Organization Active NPI

Maheem Enterprise LLC

Doing business as babcock pharmacy & surgicals

  • Community/Retail Pharmacy
  • Melbourne, FL
National Provider Identifier
1073928057
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH27315 Issued in FL
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, 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, RPH,MSNPI 1598176778
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001000138 FL Part B Supplier - Pharmacy 7810207842 Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

5055 Babcock St NE
Ste 3
Palm Bay, FL 32905
Phone (201) 993-5814

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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": "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.

Verify at the official NPI Registry.