NPIMap

Organization Active NPI

Hobbs Pharmacy United Incorporated

Doing business as Hobbs Pharmacy

  • Community/Retail Pharmacy
  • Merritt Island, FL
National Provider Identifier
1366511602
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0000743 Issued in FL
Legal business name
HOBBS PHARMACY UNITED INCORPORATED
Doing business as
Hobbs Pharmacy
Practice address
133 N Banana River Dr
Merritt Island, FL 32952-2546
Phone
(321) 452-0010
Fax
(321) 452-6716
NPI assigned
Nov 8, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Sidney HobbsNPI 1609943232
Title
Owner
Phone
(321) 452-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH0000743 FL Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

133 N Banana River Dr
Merritt Island, FL 32952-2546

Mailing address

133 N Banana River Dr
Merritt Island, FL 32952-2546
Phone (321) 452-0010

Other identifiers 2

IdentifierTypeStateIssuer
100100100MedicaidFL
2006531OtherPK

Other names 1

  • HOBBS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091007000756 FL Part B Supplier - Mass Immunization (Roster Biller Only) 4486790235 Practice locations: Merritt Island, FL
O20100930069375 FL DME Supplier - Pharmacy 4486790235 Practice locations: Merritt Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0999951Hobbs Pharmacy United Inc133 N Banana River Dr, Merritt Island, FL 32952Certificate of waiverMay 28, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hobbs Pharmacy United Incorporated133 N Banana River Dr, Merritt Island, FL 32952-2546(321) 452-0010 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

133 N Banana River Dr
Merritt Island, FL 32952
Phone (321) 452-0010

119 N Banana River Dr
Merritt Island, FL 32952
Phone (321) 452-0010

Networks

  • 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)
  • 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)…

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1366511602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N BANANA RIVER DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522546",
            "telephone_number": "321-452-0010",
            "fax_number": "321-452-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N BANANA RIVER DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522546",
            "telephone_number": "321-452-0010",
            "fax_number": "321-452-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBBS PHARMACY UNITED INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-452-0010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0000743",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOBBS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.