Organization Active NPI

Brevard Family Pharmacy Inc

Doing business as Brevard Family Pharmacy

  • Community/Retail Pharmacy
  • Titusville, FL
National Provider Identifier
1396503744
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BREVARD FAMILY PHARMACY INC
Doing business as
Brevard Family Pharmacy
Practice address
2507 Garden St
Titusville, FL 32796-4612
Phone
(407) 925-9433
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Jad Ibrahim, PHARMD
Title
Owner
Phone
(321) 225-4900

Specialties & licenses 1

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

Addresses

Primary practice location

2507 Garden St
Titusville, FL 32796-4612

Mailing address

2507 Garden St
Titusville, FL 32796-4613
Phone (321) 225-4311

Other names 1

  • Brevard Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3413 S Hopkins Ave
Titusville, FL 32780
Phone (321) 225-4900

2507 Garden St
Titusville, FL 32796
Phone (321) 269-7772

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1396503744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964613",
            "telephone_number": "321-225-4311",
            "fax_number": "321-225-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964612",
            "telephone_number": "407-925-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "JAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-225-4900",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brevard Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.