Active NPI
James Grae Macdonald, RPH
- Pharmacist
- Palm Bay, FL
National Provider Identifier
1851848378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37463
- Practice address
- 1850 Eldron Blvd SE
Suite 7
Palm Bay, FL 32909-6870 - Phone
- (321) 308-0303
- Fax
- (321) 308-0310
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS37463 | FL | Primary |
| Pharmacist | 183500000X | 015806 | KY |
Addresses
Primary practice location
1850 Eldron Blvd SE
Suite 7
Palm Bay, FL 32909-6870
Mailing address
1850 Eldron Blvd SE
Suite 7
Palm Bay, FL 32909-6870
Phone (321) 308-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS37463 | FL | MD | Pharmacist |
| 015806 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Lakes Pharmacy LLC | Current | Accepting new patients | |
| Pharmacy Ventures LLC | Past | Accepting new patients |
Locations
1850 Eldron Blvd SE
Ste 7
Palm Bay, FL 32909
Phone (321) 308-0303
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Palm Bay, FL
- NPI 1932686615
-
- Community/Retail Pharmacy
- Palm Bay, FL
- NPI 1356534838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1851848378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 ELDRON BLVD SE",
"address_2": "SUITE 7",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096870",
"telephone_number": "321-308-0303",
"fax_number": "321-308-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 ELDRON BLVD SE",
"address_2": "SUITE 7",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096870",
"telephone_number": "321-308-0303",
"fax_number": "321-308-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JAMES",
"middle_name": "GRAE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37463",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015806",
"primary": false
}
],
"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 Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.