Melbourne Pharma

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MELBOURNE PHARMA

Practice address

2235 S Babcock St
Melbourne, FL 32901-5305

Phone

(321) 423-6200

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Michael Boehmer, RPH

Title

President

Phone

(321) 423-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1255153292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015305",
            "telephone_number": "321-423-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015305",
            "telephone_number": "321-423-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BOEHMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-423-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melbourne Medical LLC
• Melbourne Medicine & Surgery Assoc
• Melbourne Medpsych PLLC
• Melbourne Mobile Podiatry
• Melbourne Opco, LLC (Nursing & Rehabilitation Center of Melbourne)
• Melbourne Physician Services, LLC
• Melbourne Podiatry Associates, P.a. (Melbourne Podiatry Associates)
• Melbourne Surgery Center LP
• Melbourne Surgery Center, LLC (Melbourne Surgery Center)
• Melbourne Terrace RCC, LLC (Melbourne Terrace Rehabilitation Center)

• Compounding Pharmacy in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.