Blue River HQ, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE RIVER HQ, LLC

Practice address

1394 US Highway 1
Vero Beach, FL 32960-5732

Phone

(269) 501-7034

NPI assigned

Apr 18, 2015

Last updated

Apr 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Emily Rahemi, PTANPI 1881785269

Title

Office Manager

Phone

(269) 501-7034

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Emily Lynn Rahemi, PTA

  • Physical Therapy Assistant
  • Vero Beach, FL
  • NPI 1881785269
  Authorized official Same address or phone

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429315200000",
    "number": "1508253485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 NEWMARK CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329686711",
            "telephone_number": "269-501-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605732",
            "telephone_number": "269-501-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER HQ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-18",
        "last_updated": "2015-04-18",
        "status": "A",
        "authorized_official_last_name": "RAHEMI",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-501-7034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sashenka Blanfort
• Patricia Ann Blatus
• Kelly Jo Bleakley, PA-C
• Amanda Marie Bloom, PTA
• Lauren Bloom, D.O.
• Blue Wave Medical Specialists, LLC
• Karen J Blum, APRN
• Melody Blum, APRN, FNP-C
• Anabel Bobes, PSY.D.
• Kristen Boehl, PTA

• Community/Retail Pharmacy in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; 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.