Organization Active NPI

Ashwini Healthcare LLC

  • Community/Retail Pharmacy
  • Melbourne, FL
National Provider Identifier
1295051845
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24577 Issued in FL
Legal business name
ASHWINI HEALTHCARE LLC
Practice address
401 N Wickham Rd
Suite W and X
Melbourne, FL 32935-8659
Phone
(321) 751-7885
Fax
(321) 751-7886
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Manasa Thimmegowda
Title
MGRM
Phone
(321) 752-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH24577 FL Primary

Addresses

Primary practice location

401 N Wickham Rd
Suite W and X
Melbourne, FL 32935-8659

Mailing address

816 Autumn Glen Dr
Melbourne, FL 32940-6423
Phone (321) 752-9125

Other identifiers 2

IdentifierTypeStateIssuer
002560400MedicaidFL
1055703OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MELBOURNE DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

401 N Wickham Rd
Ste W
Melbourne, FL 32935
Phone (321) 421-7620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1295051845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 AUTUMN GLEN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406423",
            "telephone_number": "321-752-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WICKHAM RD",
            "address_2": "SUITE W AND X",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358659",
            "telephone_number": "321-751-7885",
            "fax_number": "321-751-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHWINI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "THIMMEGOWDA",
        "authorized_official_first_name": "MANASA",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "321-752-9125"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002560400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1055703",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELBOURNE DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2011; 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.