Space Coast Community Pharmacy is an authorized DME supplier for medicare equipments and products.
Space Coast Community Pharmacy is a Community/Retail Pharmacy in Rockledge, Florida. This pharmacy is owned and operated by Crayton Mitchell Group. It is located at 197 Bougainvillea Dr Ste D, Rockledge and it's customer support contact number is 321-636-2275. The authorized person of Space Coast Community Pharmacy is Traci Mitchell who is Owner of the pharmacy and his contact number is 321-636-2275. Active license number of Space Coast Community Pharmacy is PH29873 for Community/Retail Pharmacy in Florida. Space Coast Community Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Space Coast Community Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Space Coast Community Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Space Coast Community Pharmacy
Type:
Community/Retail Pharmacy
Location:
197 Bougainvillea Dr Ste D, Rockledge, Florida, 32955-2402
Phone:
321-636-2275
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Traci Mitchell
Position:
Owner
Contact Number:
321-636-2275
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1851750178
NPI Enumeration Date:
15 Feb, 2016
NPI Last Update On:
28 Jan, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Space Coast Community Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PH29873
Florida
Primary
Durable Medical Equipment & Medical Supplies
PH29873
Florida
Secondary
Customized Equipment
PH29873
Florida
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2158119
Other
Pk
Medicare Enrollment:
Space Coast Community Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
8022394329
O20170422000039
Crayton Mitchell Group
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
197 Bougainvillea Dr Ste D, Rockledge, Florida
Zip:
32955-2402
Phone Number:
321-636-2275
Fax Number:
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Patients can reach Space Coast Community Pharmacy at 197 Bougainvillea Dr Ste D, Rockledge, Florida or can call on customer care at 321-636-2275.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.