Organization Active NPI

Night Owl Pharmacy, Inc.

  • Pharmacy
  • Melbourne, FL
National Provider Identifier
1871037333
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH30481 Issued in FL
Legal business name
NIGHT OWL PHARMACY, INC.
Doing business as
Night Owl Pharmacy, Inc.
Practice address
811 E Hibiscus Blvd
Melbourne, FL 32901-3219
Phone
(321) 914-4909
Fax
(321) 400-1409
NPI assigned
Dec 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
John Abramo
Title
President
Phone
(321) 749-2009

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH30481 FL Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

811 E Hibiscus Blvd
Melbourne, FL 32901-3219

Mailing address

811 E Hibiscus Blvd
Melbourne, FL 32901-3219
Phone (321) 914-4909

Other identifiers 1

IdentifierTypeStateIssuer
2166773OtherPK

Other names 1

  • Night Owl Pharmacy, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

811 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 914-4909

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1871037333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013219",
            "telephone_number": "321-914-4909",
            "fax_number": "321-400-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013219",
            "telephone_number": "321-914-4909",
            "fax_number": "321-400-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHT OWL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ABRAMO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-749-2009"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30481",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Night Owl Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.