Individual provider Active NPI

Venkata Naga Laxmi Cheedhella, RPH

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1154549343
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS40849 Issued in FL
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

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS40849FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Specialty Pharmacy LLC CurrentSince Oct 13, 2024 Accepting new patients
Bell Eve, Inc. PastSince Mar 1, 2020 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.

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.

Verify at the official NPI Registry.