Organization Active NPI

Saint Mary Medical

  • Long Term Care Pharmacy
  • Palm Bay, FL
National Provider Identifier
1407780026
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SAINT MARY MEDICAL
Practice address
4651 Babcock St NE Ste 5a
Palm Bay, FL 32905-2808
Phone
(321) 914-0484
Fax
(321) 914-0563
NPI assigned
Jun 9, 2026
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Marina BakhetNPI 1659976207
Title
Owner
Phone
(321) 914-0484

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4651 Babcock St NE Ste 5a
Palm Bay, FL 32905-2808

Mailing address

4651 Babcock St NE Ste 5a
Palm Bay, FL 32905-2808
Phone (321) 914-0484

National Provider Directory

National Provider Directory
Tax ID family
Palm Bay Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1407780026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 BABCOCK ST NE STE 5A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052808",
            "telephone_number": "321-914-0484",
            "fax_number": "321-914-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 BABCOCK ST NE STE 5A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052808",
            "telephone_number": "321-914-0484",
            "fax_number": "321-914-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "BAKHET",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-914-0484"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.