Indian River Pharmacy, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PH19077 Issued in FL

Legal business name

INDIAN RIVER PHARMACY, INC.

Doing business as

Perkins Indian River Pharmacy

Practice address

3721 10TH CT
Vero Beach, FL 32960-6559

Phone

(772) 567-2555

Fax

(772) 567-0013

NPI assigned

Jan 17, 2007

Last updated

Sep 11, 2025By 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. Gregory Michael Decrescenzo, R.PH.NPI 1912951294

Title

President

Phone

(772) 567-2555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PERKINS INDIAN RIVER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 3

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.

• Gregory Michael Decrescenzo, R.PH.

  • Pharmacist
  • Vero Beach, FL
  • NPI 1912951294
  NPD (past) Authorized official
• Brian Keith Cooper, RPH

  • Pharmacist
  • Sebastian, FL
  • NPI 1033456181
  NPD (past)
• Kimberly Piakis, PHARMD

  • Pharmacist
  • Vero Beach, FL
  • NPI 1770814477
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225180722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606559",
            "telephone_number": "772-567-2555",
            "fax_number": "772-567-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606559",
            "telephone_number": "772-567-2555",
            "fax_number": "772-567-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DECRESCENZO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-567-2555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH12565",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH19077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1039987",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERKINS INDIAN RIVER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indian River Memorial Hospital, Inc. (Behavioral Health Center at Indian River Memorial Hospital, Inc.)
• Indian River MRI Inc
• Indian River Neurosurgical Solutions LLC
• Indian River Pediatrics, PA
• Indian River Pharmacy (Indian River Infusion Services)
• Indian River Physicians LLC
• Indian River Podiatry, PA
• Indian River Primary Care
• Indian River Private Duty Nursing
• Indian River Radiology PA

• Home Infusion Therapy Pharmacy in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Home Infusion Therapy Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.