Dragonfly Botanica LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DRAGONFLY BOTANICA LLC

Practice address

6450 N Wickham Rd
102
Melbourne, FL 32940-2036

Phone

(321) 622-8155

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Salvatore J Giorgianni Jr., PHARMD

Title

Pharmacist in Charge

Phone

(321) 622-8155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1871959296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 N WICKHAM RD",
            "address_2": "102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402036",
            "telephone_number": "321-622-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 N WICKHAM RD",
            "address_2": "102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402036",
            "telephone_number": "321-622-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY BOTANICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "GIORGIANNI",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "321-622-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.