Active NPI
Venkata Naga Laxmi Cheedhella, RPH
- Pharmacist
- Melbourne, FL
National Provider Identifier
1154549343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40849
- Practice address
- 378 N Babcock St
Melbourne, FL 32935-7344 - Phone
- (321) 549-5005
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS40849 | FL | Primary |
Addresses
Primary practice location
378 N Babcock St
Melbourne, FL 32935-7344
Mailing address
1066 Clearlake Rd
Cocoa, FL 32922-6384
Phone (321) 549-5005
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40849 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Specialty Pharmacy LLC | Current | Accepting new patients | |
| Bell Eve, Inc. | Past | Accepting new patients |
Locations
1451 Dixon Blvd
Cocoa, FL 32922
Phone (321) 549-5005
1066 Clearlake Rd
Cocoa, FL 32922
Phone (321) 290-3715
378 N Babcock St
Melbourne, FL 32935
Phone (321) 549-5005
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.
-
- Community/Retail Pharmacy
- Melbourne, FL
- NPI 1093005753
-
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1679015499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1154549343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 CLEARLAKE RD",
"city": "COCOA",
"state": "FL",
"postal_code": "329226384",
"telephone_number": "321-549-5005",
"fax_number": "321-549-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 N BABCOCK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329357344",
"telephone_number": "321-549-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEDHELLA",
"first_name": "VENKATA",
"middle_name": "NAGA LAXMI",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40849",
"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 Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.