Individual provider Active NPI

Christina Gendy

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1083123632
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS57034 Issued in FL
Practice address
1515 Palm Bay Rd Ste 108
Melbourne, FL 32905-3863
Phone
(321) 499-3999
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS57034 FL Primary

Addresses

Primary practice location

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

Mailing address

2428 Malabar Lakes Dr NE
Palm Bay, FL 32905-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS57034FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maheem Enterprise LLC PastSince Sep 5, 2023 Accepting new patients
Maheem Enterprise LLC PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1083123632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 MALABAR LAKES DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054468"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDY",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 27, 2017; 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.