Malabar Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24682 Issued in FL

Legal business name

MALABAR PHARMACY LLC

Doing business as

Malabar Discount Pharmacy

Practice address

930 Malabar Rd SE
Ste 1
Palm Bay, FL 32907-3252

Phone

(321) 775-0911

Fax

(321) 775-0912

NPI assigned

Jun 16, 2010

Last updated

Sep 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ankur Shah, RPHNPI 1750673596

Title

Pharmacy Manager

Phone

(321) 432-0675

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Malabar Discount Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL4 enrollments

Enrollment records 4

Tax ID family

Malabar Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Malabar Pharmacy LLC

  dba Malabar Discount Pharmacy

  • Long Term Care Pharmacy
  • Palm Bay, FL
  • NPI 1225477862
  NPD tax ID

Locations

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 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.

• Ankur A Shah, R.PH

  • Pharmacist
  • Palm Bay, FL
  • NPI 1750673596
  NPD (past) Authorized official
• Mariela Nieves, PHARMD

  • Pharmacist
  • Palm Bay, FL
  • NPI 1275097560
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1144541830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MALABAR RD SE",
            "address_2": "STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073252",
            "telephone_number": "321-775-0911",
            "fax_number": "321-775-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MALABAR RD SE",
            "address_2": "STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073252",
            "telephone_number": "321-775-0911",
            "fax_number": "321-775-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALABAR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "321-432-0675",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24682",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH24682",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24682",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH24682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5700388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malabar Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donita Jean Main, MED
• Mizell Ligon Mais, CNA
• Making Strides ABA Therapy LLC
• Making Waves Speech and Language Therapy LLC
• Malabar Chiropractic LLC
• Malabar Pharmacy LLC (Malabar Discount Pharmacy)
• Hani M Malak
• Clayton Malinich
• Gabrielle Sarah Maloney
• Stacey Ann Manderson

• Community/Retail Pharmacy in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.