Anba Karas LLC
Organization Active NPI Community/Retail Pharmacy · Rockledge, FL
NPI 1770869398 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1770869398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH25728 (FL)
- Legal business name
- ANBA KARAS LLC
- Practice address
- 3650 Murrell Rd Ste 120
Rockledge, FL 32955-4780 - Phone
- (321) 735-4991
- Fax
- (321) 735-4993
- NPI assigned
- Oct 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Mark Abdelmaseeh, PHARM D
- Title
- Manager
- Phone
- (321) 735-4991
Practitioners 1
-
Mark Abdelmaseeh, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210406001334 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143637314 | Practice locations: Rockledge, FL |
National Provider Directory
Locations
3650 Murrell Rd
Ste 120
Rockledge, FL 32955
Phone (321) 735-4991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH25728 | FL | Yes |
Addresses
Primary practice location
3650 Murrell Rd Ste 120
Rockledge, FL 32955-4780
Mailing address
3650 Murrell Rd Ste 120
Rockledge, FL 32955-4780
Phone (321) 735-4991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132805 | Other | PK | |
| 004473800 | Medicaid | FL |
Other names
- ROCKLEDGE DISCOUNT PHARMACY
Other providers in Rockledge, FL
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- Elyse Brooke Amigo
- Vijaykumar C Amin
- Sherry R Amos
- Amsurg Rockledge FL Anesthesia LLC
- Andreza Love Anderson
- Brooke Anderson
- Andrew Tobkes MD PA
- Deepika Aneja
- Anesthesia Professional Services of Brevard LLC
All providers in Rockledge, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.