Prevention X, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31554 Issued in FL

Legal business name

PREVENTION X, LLC

Doing business as

Bayside Lakes Family Pharmacy

Practice address

1850 Eldron Blvd SE Ste 7
Palm Bay, FL 32909-6870

Phone

(321) 308-0303

Fax

(321) 308-0310

NPI assigned

Jul 25, 2018

Last updated

Sep 25, 2026By 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

Patrick Whiteside

Title

Co

Phone

(866) 773-7305

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bayside Lakes Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• James Grae Macdonald, RPH

  • Pharmacist
  • Palm Bay, FL
  • NPI 1851848378
  NPD

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1932686615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ELDRON BLVD SE",
            "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 STE 7",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096870",
            "telephone_number": "321-308-0303",
            "fax_number": "321-308-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION X, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CO",
        "authorized_official_telephone_number": "866-773-7305"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PH31554",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100868600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Lakes Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Palm Bay, FL
• Providers in Palm Bay, 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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.